NPI | 1336658715 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE KONING Physician/Owner 951-371-0844 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G48583) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2022-07-21 |