Organization
CENIGENT HEALTH ENHANCEMENT MEDICAL INSTITUTE, A MEDICAL CORPORATION
Active
Other names
CENIGENT Medical Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDA GHADERI M.D. (MEDICAL DIRECTOR)
(310) 998-8600
Entity
Organization
Contact information
Practice address
2222 SANTA MONICA BLVD, SUITE 200, SANTA MONICA, CA 90404-2304
(310) 998-8600
(310) 998-8662
Mailing address
2222 SANTA MONICA BLVD, SUITE 200, SANTA MONICA, CA 90404-2304
(310) 998-8600
(310) 998-8662
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
A063230
CA
261QH0100X
Health Service Clinic/Center
A063230
CA
261QM2500X
Medical Specialty Clinic/Center
A063230
CA
261QP2300X
Primary Care Clinic/Center
Primary
A063230
CA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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