| NPI | 1891919619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R PURDOM Owner 562-777-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A21180) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |