| NPI | 1417193145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ELLEN LARSEN Owner 661-326-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G80218) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |