| NPI | 1780962365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINAH MARIE BLISS Owner 323-821-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A74690) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |