| NPI | 1891139309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SMITH Billing Manager 805-354-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A113049) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-10-03 |