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NPI Code Detail

MEDICARE: CENTURY WOMEN MEDICAL GROUP, INC

MEDICARE: CENTURY WOMEN MEDICAL GROUP, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA64700CA

Other Identifiers

General Provider Information

NPI Number : 1255499208
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY WOMEN MEDICAL GROUP, INC
Provider Business Mailing Address
First Line : 2080 CENTURY PARK E STE 1206
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2015
Country : US
Telephone Number : 213-389-4544
Fax Number : 213-389-4554
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E STE 1206
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2015
Country : US
Telephone Number : 213-389-4544
Fax Number : 213-389-4554
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : NANCY CAZAREZ
Credential :
Telephone Number : 213-389-4544
Provider Enumeration Date : 12/04/2006
Last Update Date : 02/16/2009

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Directions to “CENTURY WOMEN MEDICAL GROUP, INC ” Practice Location

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