| NPI | 1225121049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOIE D RUSSO Doctor 818-757-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A8335) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-05-28 |