| NPI | 1205374493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO GRANT President 213-793-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME122443) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2025-02-26 |