| NPI | 1487134359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LOUISE EDMOND Provider 310-659-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A91799) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |