| NPI | 1992460794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE H SMALL Owner 909-528-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-06 |