Organization
CENTURY WOMEN MEDICAL GROUP, INC
Active
Parent organization
CENTURY WOMEN MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTURY WOMEN MEDICAL GROUP, INC
Authorized official
NANCY CAZAREZ (OFFICE ADMINISTRATOR)
(213) 389-4544
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1206, LOS ANGELES, CA 90067-2015
(213) 389-4544
(213) 389-4554
Mailing address
2080 CENTURY PARK E STE 1206, LOS ANGELES, CA 90067-2015
(213) 389-4544
(213) 389-4554
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A64700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0097000
—
CA
05
—
GR0097001
—
CA
Enumeration date
12/04/2006
Last updated
02/16/2009
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