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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
ALBERT A NASSIR M.D. (PRESIDENT)
(310) 553-1200
Entity
Organization

Contact information

Practice address
2030 W PICO BLVD, LOS ANGELES, CA 90006-5011
(213) 389-4544
(213) 389-4554
Mailing address
2080 CENTURY PARK E STE 507, LOS ANGELES, CA 90067-2008
(310) 553-1200
(310) 553-1216

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275619736
NPI
CA
01
1821161860
NPI
CA
01
GR0097000
GROUP #
CA
01
GR0097001
GROUP MEDICAL NUMBER
CA
Enumeration date
03/28/2007
Last updated
02/11/2013
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