| NPI | 1568651040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LOREDO MD Physician 209-722-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G55263) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-03-07 |