Organization
CCAWC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BARRETT (PRESIDENT)
(310) 277-7179
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1110, LOS ANGELES, CA 90067-2001
(310) 277-7179
Mailing address
2080 CENTURY PARK E, SUITE 1110, LOS ANGELES, CA 90067-2001
(310) 277-7179
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AC8224
CA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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