NPI | 1174039333 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS WYATT JR. President 310-360-7430 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 00C320300) |
Enumeration Date | 2017-12-22 |
Last Update Date | 2018-06-16 |