| NPI | 1801213145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHESTER CORLETT Owner 805-964-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G17177) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2016-04-27 |