| Century Women Medical Group, Inc. | |
|
13309 Van Nuys Blvd Pacoima CA 91331-3006 | |
| (310) 553-1200 | |
| (310) 553-1216 |
| Full Name | Century Women Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 13309 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | David Christopher Castro (ADMINISTRATOR) |
| Authorized Official Contact | 3105531200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Century Women Medical Group, Inc. 8679 W Pico Blvd Los Angeles CA 90035-2315 Ph: (310) 553-1200 | Century Women Medical Group, Inc. 13309 Van Nuys Blvd Pacoima CA 91331-3006 Ph: (310) 553-1200 |
| NPI Number | 1235790718 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235790718 | NPI | - | NPPES |
| 1821161860 | Medicaid | CA | |
| 1285753723 | Medicaid | CA | |
| 1275619736 | Medicaid | CA | |
| 1093834533 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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