| NPI | 1376819763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K FENMORE Presidnet 818-708-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A43642) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-07-14 |