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Organization
NOVA MEDICAL CENTER
Active
Organization
NOVA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RANDALL CALDRON (PRESIDENT)
(818) 599-1002
Entity
Organization
Contact information
Practice address
1423 W 8TH ST, SAN PEDRO, CA 90732-3803
(818) 599-1002
Mailing address
PO BOX 942014, SIMI VALLEY, CA 93094-2014
(818) 843-1116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A64420
CA
Other
Enumeration date
06/09/2008
Last updated
04/03/2019
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