| NPI | 1548638406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINO PHAM Executive Director 949-760-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 383408) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |