| NPI | 1235299538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY J WONG Office Manager 949-387-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA G59317) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |