| NPI | 1831423359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A MIKACICH President 916-927-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A73791) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-12-22 |