WOMENS PAVILION MEDICAL GROUP INC NPI 1972827483

NPI Information

WOMENS PAVILION MEDICAL GROUP INC is a specialist in Burbank, 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. WOMENS PAVILION MEDICAL GROUP INC NPI is 1972827483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

191 S. BUENA VISTA ST.
SUITE 340
BURBANK, CA
ZIP 91505
Phone: (818) 559-7500
Fax: (818) 559-6453

The provider's authorized official is Belinda Ortiz .
The authorized official title is Office Manager and has the following contact phone number (818) 559-7500.

The CLIA number assigned to this NPI record is 05D2007573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2010 and was last updated on 11/29/2010.

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:

Other Identifiers

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