| NPI | 1780333062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITO VILLANUEVA Medical Director/Owner 949-891-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |