| NPI | 1780116830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYLER MARTINEZ Billing Manager 951-588-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA C51775) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-21 |