| NPI | 1538653340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL NOLASCO Practice Manager 916-927-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A139562) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |