| NPI | 1679014328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C SABOGAL TAMAYO CEO 559-471-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A100667) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |