| NPI | 1386843399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CANIFF Credentialer, B Iller 760-322-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G37914) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA G37914) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-12-06 |