| NPI | 1760579833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TAPIA VAUGHAN General Manager 408-995-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA GR0006548) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-09-18 |