Prominent Care Group INC

NPI #1053566141 in N Hollywood, California

Provider Information

NPI Number: 1053566141
Entity Type: Organization
Organization Name: Prominent Care Group INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 18, 2008
Last Updated: Nov 18, 2008

Practice Location

Address: 11490 BURBANK BLVD
Address 2: SUITE 6-C
City: N Hollywood
State: California
ZIP Code: 91601-2389
Phone: (818) 633-4153

Authorized Official

Name: SUSAN C LOGAN
Title: PRESIDENT
Phone: (818) 633-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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