Organization
GENESIS WOMENS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIADE C SHORT MD (VICE PRESIDENT)
(619) 475-1261
Entity
Organization
Contact information
Practice address
502 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2984
(619) 475-1261
(619) 475-1267
Mailing address
502 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2984
(619) 475-1261
(619) 475-1267
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A114893
CA
Other
Enumeration date
06/25/2013
Last updated
09/16/2013
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