Organization
PICO UNION WOMEN'S HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M SIMBALA MD (PRESIDENT)
(213) 384-7629
Entity
Organization
Contact information
Practice address
1811 W PICO BLVD, LOS ANGELES, CA 90006-5006
(213) 384-7629
(213) 384-7630
Mailing address
1811 W PICO BLVD, LOS ANGELES, CA 90006-5006
(213) 384-7629
(213) 384-7630
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A67608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A676080
—
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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