| NPI | 1922814193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXIE CRUZ Office Manager 310-414-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |