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General NPI Number Information
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NPI Number | 1639562481
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA WOMEN'S HEALTH CENTER INC.
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 1850 S AZUSA AVE STE 309
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6854
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Country | US
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Telephone | 626-810-5998
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Fax | 626-810-8973
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Provider Business Mailing Address
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Address Line | 1850 S AZUSA AVE STE 309
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6854
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Country | US
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Telephone | 626-810-5998
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Fax | 626-810-8973
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Authorized Official
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Title or Position | CEO
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Name | ABRAHAM P HAN
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Credential |
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Telephone | 626-810-5998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G72378
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License Number State | CA
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