| NPI | 1619145505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROSS JUSTUS President 310-393-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A79053) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2024-06-24 |