| Century Women Medical Group, Inc | |
|
2030 W Pico Blvd Los Angeles CA 90006-5011 | |
| (213) 389-4544 | |
| (213) 389-4554 |
| Full Name | Century Women Medical Group, Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 2030 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | David Christopher Castro (ADMINISTRATOR) |
| Authorized Official Contact | 3105531200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Century Women Medical Group, Inc 8679 W Pico Blvd Los Angeles CA 90035-2315 Ph: (310) 553-1200 | Century Women Medical Group, Inc 2030 W Pico Blvd Los Angeles CA 90006-5011 Ph: (213) 389-4544 |
| NPI Number | 1295854701 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295854701 | NPI | - | NPPES |
| 1285753723 | Medicaid | CA | |
| GR0097000 | Medicaid | CA | |
| 1821161860 | Other | CA | NPI |
| 1275619736 | Other | CA | NPI |
| GR0097001 | Other | CA | GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
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