Nova Medical Center, a Professional Corporation
NPI #1154634228 in San Pedro, California
Provider Information
- NPI Number
- 1154634228
- Entity Type
- Organization
- Organization Name
- Nova Medical Center, a Professional Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jul 19, 2010
- Last Updated
- Apr 3, 2019
Practice Location
- Address
- 1423 W 8TH ST
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-3803
- Phone
- (818) 599-1002
Authorized Official
- Name
- RANDALL CALDRON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (818) 599-1002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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