| NPI | 1750739777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA TIO Owner 818-932-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A55120) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A62645) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2017-04-27 |