| NPI | 1780987537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS JORGE MARMANILLO Office Manager 619-585-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-08-15 |