# VERMONT FAMILY AND WOMEN'S CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225476534
- **Authorized official:** CLEM D RODRIGUEZ MD (CEO)
- **Authorized official phone:** (805) 610-2821

## Contact information

- **Practice address:** 1200 N VERMONT AVE, SUITE E, LOS ANGELES, CA 90029-1760
- **Practice address phone:** (805) 610-2821
- **Mailing address:** 1200 N VERMONT AVE, SUITE E, LOS ANGELES, CA 90029-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A52544 | CA | Yes |

## Other

- **Enumeration date:** 06/08/2013
- **Last updated:** 06/08/2013