| NPI | 1295270254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RYAN LANGDON CEO 909-474-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A109432) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2024-03-26 |