Organization
BUENA VISTA WOMAN'S COMPREHENSIVE CARE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BARDOWELL MD (ADMINISTRATOR)
(818) 843-3100
Entity
Organization
Contact information
Practice address
2701 W ALAMEDA AVE STE 604, BURBANK, CA 91505-4411
(818) 843-3100
(818) 843-8189
Mailing address
2701 W ALAMEDA AVE STE 604, BURBANK, CA 91505-4411
(818) 843-3100
(818) 843-8189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A41037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065190
—
CA
Enumeration date
02/03/2007
Last updated
08/22/2020
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