| NPI | 1598143901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BOLANOS Billing Specialist 559-495-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G36995) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |