| NPI | 1679779292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ACACIO Director 949-249-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA GB03906) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA GB03906) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |