| NPI | 1336389220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT JAMES HENNEBERG Owner 626-449-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G45592) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-18 |