| NPI | 1427738772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA MALIK Physician 949-610-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-03-03 |