| NPI | 1841537735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODRIC BLUE HENDRIX Owner 310-652-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A29978) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |