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General NPI Number Information
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NPI Number | 1407990005
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Entity Type | Organization
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Legal Business Name | PACIFICAR WOMENS MEDICAL CENTER INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 222 N SUNSET AVE SUITE F
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City | WEST COVINA
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State | CA
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Zip | 91790-2278
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Country | US
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Telephone | 626-960-0696
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Fax | 626-960-5909
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Provider Business Mailing Address
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Address Line | 222 N SUNSET AVE SUITE F
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City | WEST COVINA
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State | CA
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Zip | 91790-2278
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Country | US
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Telephone | 626-960-0696
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Fax | 626-960-5909
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Authorized Official
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Title or Position | PRESIDENT
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Name | ESTELLA ADORADOR PACIFACAR
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Credential | MD
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Telephone | 626-960-0696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A25445
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License Number State | CA
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