| NPI | 1740687920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE V DIEGO President 213-388-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A67445) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A67445) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-02-23 |