| NPI | 1962032748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SIKICH Practice Manager 310-408-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |