| NPI | 1780707737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDIE GARNETT Manager 310-825-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA G14024) |
| Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: CA G14024) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-07-18 |