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PROMINENT CARE GROUP INC NPI 1053566141


NPI Information

NPI: 1053566141
Provider Name: PROMINENT CARE GROUP INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
11490 BURBANK BLVD
SUITE 6-C
N HOLLYWOOD, CA
ZIP 91601
Phone: (818) 633-4153
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PROMINENT CARE GROUP INC is an obstetrics gynecology in N Hollywood, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROMINENT CARE GROUP INC NPI is 1053566141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11490 BURBANK BLVD
SUITE 6-C
N HOLLYWOOD, CA
ZIP 91601-389
Phone: (818) 633-4153

The provider's authorized official is Susan C Logan .
The authorized official title is President and has the following contact phone number (818) 633-4153.

The enumeration date for this NPI number is 11/18/2008 and was last updated on 11/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG69486CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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