| NPI | 1215107792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K FENMORE President 818-708-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A43642) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |