NPI | 1538500798 |
---|---|
Entity Type | Organization |
Authorized Contact | THECLA N. MGBOJIRIKWE Medical Director / Owner 310-816-3111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 14927) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2022-04-10 |