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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
NANCY CAZAREZ (OFFICE ADMIN)
(310) 553-1200
Entity
Organization

Contact information

Practice address
2080 CENTURY PARK E STE 507, LOS ANGELES, CA 90067-2008
(310) 553-1200
(310) 553-1216
Mailing address
7301 STATE ST, HUNTINGTON PARK, CA 90255-5823
(323) 581-5120

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
G82337
CA

Other

Enumeration date
04/29/2011
Last updated
04/29/2011
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