| NPI | 1669689790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG BOARD Director Of Operations 661-663-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-09-27 |