Organization
NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION
Active
Parent organization
NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION
Authorized official
RANDALL CALDRON MD (MEDICAL DIRECTOR)
(818) 599-1002
Entity
Organization
Contact information
Practice address
1423 W 8TH ST, SAN PEDRO, CA 90732-3803
(818) 599-1002
Mailing address
1197 E LOS ANGELES AVE STE C303, SIMI VALLEY, CA 93065-2868
(805) 501-6685
(866) 472-9836
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
04/03/2019
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