Provider Demographics
NPI:1225375777
Name:CENTURY WOMEN MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:CENTURY WOMEN MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:NASSIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-553-1200
Mailing Address - Street 1:2080 CENTURY PARK EAST
Mailing Address - Street 2:507
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2008
Mailing Address - Country:US
Mailing Address - Phone:310-553-1200
Mailing Address - Fax:310-553-1216
Practice Address - Street 1:16900 LAKEWOOD BLVD
Practice Address - Street 2:# 308
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5580
Practice Address - Country:US
Practice Address - Phone:310-553-1200
Practice Address - Fax:310-553-1216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTURY WOMEN MEDICAL GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-03
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty