PALOMA WOMEN'S CLINIC AND MEDICAL CENTER NURSING P.C NPI 1922390996

NPI Information

PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C is a family nurse practitioner in Huntington Park, CA. PALOMA WOMEN'S CLINIC AND MEDICAL CENTER, NURSING P.C NPI is 1922390996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2670 E GAGE AVE STE 4
HUNTINGTON PARK, CA
ZIP 90255-176
Phone: (323) 588-2005
Fax: (323) 588-2004

The provider's authorized official is Larisa Zabokritskaya .
The authorized official title is President and has the following contact phone number (310) 940-2001.

The CLIA number assigned to this NPI record is 05D2026719 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.

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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