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NPI 1639630999

NPI 1639630999 : WESTFIELD HEALTH : PALOS VERDES PENINSULA, CA

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General NPI Number Information
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    NPI Number           |    1639630999
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTFIELD HEALTH 
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Dates
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    Enumeration Date     |    03/28/2019
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    Last Update Date     |    03/28/2019
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Provider Practice Location Address
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    Address Line         |    26516 CRENSHAW BLVD 
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    City                 |    PALOS VERDES PENINSULA
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    State                |    CA
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    Zip                  |    90274-3970
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    Country              |    US
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    Telephone            |    310-541-7911
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    Fax                  |    310-541-4256
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Provider Business Mailing Address
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    Address Line         |    26516 CRENSHAW BLVD 
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    City                 |    PALOS VERDES PENINSULA
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    State                |    CA
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    Zip                  |    90274-3970
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    Country              |    US
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    Telephone            |    310-541-7911
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    Fax                  |    310-541-4256
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     LORENA  BARONI 
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    Credential           |    
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    Telephone            |    310-541-7911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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