| NPI | 1770619843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA G. VIDAL Owner 310-756-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A78069) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2020-08-22 |