| NPI | 1689948234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE M FAKINOS CEO / Physician 949-364-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G67377) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |