SPECTRUM WOMENS HEALTH CARE MEDICAL GROUP INC. NPI 1518068592

NPI Information

SPECTRUM WOMENS HEALTH CARE MEDICAL GROUP INC. is an obstetrics gynecology in Los Angeles, 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. SPECTRUM WOMENS HEALTH CARE MEDICAL GROUP INC. NPI is 1518068592. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

637 LUCAS AVE
SUITE 200
LOS ANGELES, CA
ZIP 90017-912
Phone: (213) 977-4190
Fax: (213) 977-4074

The provider's authorized official is Mark Dwight .
The authorized official title is Physician and has the following contact phone number (213) 977-4190.

The CLIA number assigned to this NPI record is 05D2112664 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/7/2013.

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:

Other Identifiers

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