| NPI | 1588966535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELLEN OTTAVI Owner 310-453-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A46681) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2013-02-19 |