Organization
PASADENA WOMEN'S MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER O. AJILORE M.D. (MEDICAL DIRECTOR)
(626) 796-9114
Entity
Organization
Contact information
Practice address
50 ALESSANDRO PL, SUITE 310, PASADENA, CA 91105-3149
(626) 796-9114
(626) 796-8523
Mailing address
50 ALESSANDRO PL, SUITE 310, PASADENA, CA 91105-3149
(626) 796-9114
(626) 796-8523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A30816
CA
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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