CEDARS TOWER MEDICAL GROUP INC NPI 1689939787

NPI Information

CEDARS TOWER MEDICAL GROUP, INC is a primary care nurse practitioner in Los Angeles, CA. CEDARS TOWER MEDICAL GROUP, INC NPI is 1689939787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8631 W 3RD ST STE 1140
LOS ANGELES, CA
ZIP 90048-965
Phone: (323) 712-1411
Fax: (818) 506-9030

The provider's authorized official is Alina Kievsky .
The authorized official title is Vice-president and has the following contact phone number (323) 606-3888.

The CLIA number assigned to this NPI record is 05D2228431 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 7/5/2012.

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:

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