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SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC NPI 1851669741


NPI Information

NPI: 1851669741
Provider Name: SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC

Former Legal Business Name: VIOLET BOODAGHIANS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0961039

Address:
6310 SAN VICENTE BLVD
STE220
LOS ANGELES, CA
ZIP 90048
Phone: (310) 274-9977
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SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN VICENTE WOMEN'S TOTAL HEALTH CENTER INC NPI is 1851669741. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Violet Boodaghians.

The provider's business location address is:

6310 SAN VICENTE BLVD
STE220
LOS ANGELES, CA
ZIP 90048-426
Phone: (310) 274-9977
Fax: (310) 274-0595

The provider's authorized official is Violet Boodaghains .
The authorized official title is Owner/president and has the following contact phone number (310) 274-9977.

The CLIA number assigned to this NPI record is 05D0961039 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 5/25/2012.


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
1174400000XSpecialistA044819CALIFORNIAYes

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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