NPI | 1386654143 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT S LEE Owner/Medical Director 909-623-3591 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-08 |
Last Update Date | 2009-07-22 |