| NPI | 1972753515 |
|---|---|
| Doing Business As | MAIN STREET PRENATAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SERGIO LEVENZON President Of Corporation 714-953-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A30834) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2010-01-07 |