| NPI | 1912443300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRISAWAI PATTAMAKOM Owner 805-509-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G080945) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |