Organization
THE VIDAL WOMANS MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAS DE GUZMAN PAJA JR. MD (CEO, PRESIDENT)
(323) 755-5500
Entity
Organization
Contact information
Practice address
11502 S. VERMONT AVE STE B, LOS ANGELES, CA 90044
(323) 755-5500
(323) 755-5522
Mailing address
1601 N SEPULVEDA BLVD # 400, MANHATTAN BEACH, CA 90266-5111
(323) 755-5500
(323) 755-5522
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A780690
—
CA
Enumeration date
10/04/2006
Last updated
10/23/2025
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