| NPI | 1740864420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIE M HICKSON-KELTNER Operations 951-272-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-26 |