| NPI | 1548554611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA AVILA Office Manager/Biller 760-946-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C51551) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-20 |