| NPI | 1902120231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA L. EDMOND President 310-659-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A91799) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |