| NPI | 1477944775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN A PREWITT Owner 805-776-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A9370) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-03-02 |