Organization
VERMONT FAMILY AND WOMEN'S CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEM D RODRIGUEZ MD (CEO)
(805) 610-2821
Entity
Organization
Contact information
Practice address
1200 N VERMONT AVE, SUITE E, LOS ANGELES, CA 90029-1760
(805) 610-2821
Mailing address
1200 N VERMONT AVE, SUITE E, LOS ANGELES, CA 90029-1760
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A52544
CA
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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