| NPI | 1952468225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE TINGLE Office Manager 760-346-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C42764) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |