# PICO UNION WOMEN'S HEALTH CLINIC

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

## Provider details

- **NPI number:** 1245391564
- **Authorized official:** CARLOS M SIMBALA MD (PRESIDENT)
- **Authorized official phone:** (213) 384-7629

## Contact information

- **Practice address:** 1811 W PICO BLVD, LOS ANGELES, CA 90006-5006
- **Practice address phone:** (213) 384-7629
- **Practice address fax:** (213) 384-7630
- **Mailing address:** 1811 W PICO BLVD, LOS ANGELES, CA 90006-5006
- **Mailing address phone:** (213) 384-7629
- **Mailing address fax:** (213) 384-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A67608 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020