Organization
SOUTHBAY WOMENS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO CEPEDA M.D. (OWNER)
(310) 631-4064
Entity
Organization
Contact information
Practice address
3590 E IMPERIAL HWY, SUITE 5, LYNWOOD, CA 90262-2655
(310) 631-4064
(310) 531-4246
Mailing address
3590 E IMPERIAL HWY, SUITE 5, LYNWOOD, CA 90262-2655
(310) 631-4064
(310) 531-4246
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G86266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G862660
—
CA
Enumeration date
07/08/2006
Last updated
12/22/2008
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