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PACIFIC WOMEN'S MEDICAL CLINIC INC NPI 1538203971


NPI Information

NPI: 1538203971
Provider Name: PACIFIC WOMEN'S MEDICAL CLINIC, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0976883

Address:
4750 GAGE AVE
BELL, CA
ZIP 90201
Phone: (323) 562-1100
Get Directions

PACIFIC WOMEN'S MEDICAL CLINIC, INC is an obstetrics gynecology in Bell, 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. PACIFIC WOMEN'S MEDICAL CLINIC, INC NPI is 1538203971. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4750 GAGE AVE
BELL, CA
ZIP 90201-351
Phone: (323) 562-1100
Fax: (323) 562-1101

The provider's authorized official is Zia Hashemi .
The authorized official title is President and has the following contact phone number (323) 562-1100.

The CLIA number assigned to this NPI record is 05D0976883 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 2/7/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyA51569CALIFORNIAYes

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
100A515693MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICAL
200A515690MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICAL
3G15780MEDICARE UPINCALIFORNIA

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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