| NPI | 1942692777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO J. VALENZUELA President 909-580-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2020-05-29 |