NPI | 1770575417 |
---|---|
Entity Type | Organization |
Authorized Contact | EBENEZER O. AJILORE Medical Director 626-796-9114 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A30816) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2020-08-22 |