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Organization
PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C
Active
Organization
PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA ZABOKRITSKAYA FNP (PRESIDENT)
(310) 940-2001
Entity
Organization
Contact information
Practice address
2670 E GAGE AVE STE 4, HUNTINGTON PARK, CA 90255-4176
(323) 588-2005
(323) 588-2004
Mailing address
2670 E GAGE AVE STE 4, HUNTINGTON PARK, CA 90255-4176
(323) 588-2005
(323) 588-2004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
681341
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
681341
CA
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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