| NPI | 1306177977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FUENTES Credentialing 714-505-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A80920) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |