| NPI | 1235398439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL S IM Owner 562-900-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A71341) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-10-12 |