| NPI | 1467904136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI PEREZ Contract Administrator 209-261-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A129928) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |