| NPI | 1760977060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SIU Owner/President 909-622-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A13839) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-08-16 |