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BUENA VISTA WOMAN'S COMPREHENSIVE CARE MEDICAL ASSOCIATES NPI 1316085988


NPI Information

NPI: 1316085988
Provider Name: BUENA VISTA WOMAN'S COMPREHENSIVE CARE MEDICAL ASSOCIATES
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2701 W ALAMEDA AVE STE 604
BURBANK, CA
ZIP 91505
Phone: (818) 843-3100
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BUENA VISTA WOMAN'S COMPREHENSIVE CARE MEDICAL ASSOCIATES is an obstetrics gynecology in Burbank, 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. BUENA VISTA WOMAN'S COMPREHENSIVE CARE MEDICAL ASSOCIATES NPI is 1316085988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2701 W ALAMEDA AVE STE 604
BURBANK, CA
ZIP 91505-411
Phone: (818) 843-3100
Fax: (818) 843-8189

The provider's authorized official is Richard Bardowell .
The authorized official title is Administrator and has the following contact phone number (818) 843-3100.

The enumeration date for this NPI number is 2/3/2007 and was last updated on 8/22/2020.


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 & GynecologyA41037CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0065190MEDICAIDCALIFORNIA

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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