NPI | 1609416700 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SIKICH Practice Manager 310-408-0479 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-07 |