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Organization
PACIFIC COAST WOMEN'S CENTER
Active
Organization
PACIFIC COAST WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID AHDOOT MD (OWNER)
(818) 700-8300
Entity
Organization
Contact information
Practice address
2121 WILSHIRE BLVD STE 302, SANTA MONICA, CA 90403-5743
(310) 315-1436
Mailing address
2461 SANTA MONICA BLVD # 635, SANTA MONICA, CA 90404-2138
(310) 315-1436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A55892
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A558920
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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