Organization
WOMENS CLINIC
Active
Other names
Womens Clinic & Family Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY NAVA (ACCOUNTANT)
(310) 203-8899
Entity
Organization
Contact information
Practice address
11101 VENICE BLVD, LOS ANGELES, CA 90034-6914
(310) 840-5757
(310) 840-5966
Mailing address
9911 W PICO BLVD, SUITE 500, LOS ANGELES, CA 90035-2703
(310) 203-8899
(310) 203-8555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
960000179
CA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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