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Organization

GIRLFRIENDS MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATANYA R HINES M.D (M.D)
(626) 793-5250
Entity
Organization

Contact information

Practice address
301 S FAIR OAKS AVE, PASADENA, CA 91105-2561
(626) 793-5250
(626) 793-5260
Mailing address
301 S FAIR OAKS AVE, PASADENA, CA 91105-2561
(626) 793-5250
(626) 793-5260

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A065104
CA

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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