| NPI | 1437984838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOUIS MATLOCK CEO/Medical Ddoirector 310-877-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-09 |