| NPI | 1710353966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BLAKE Administrator 858-939-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A11368) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2026-06-23 |