Pacific Coast Women's Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

A55892 Issued in DE

Legal business name

PACIFIC COAST WOMEN'S CENTER

Practice address

2121 Wilshire Blvd Ste 302
Santa Monica, CA 90403-5743

Phone

(310) 315-1436

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Ahdoot, MD

Title

Owner

Phone

(818) 700-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1326237058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SANTA MONICA BLVD # 635",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042138",
            "telephone_number": "310-315-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035743",
            "telephone_number": "310-315-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST WOMEN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "AHDOOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-700-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "A55892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A558920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Odion Ozigho, NP
• Sule Ozler, DR.
• Pacific Care Surgery Center LLC
• Pacific Coast Hospitalist PC
• Pacific Coast Plastic Surgery Center, Inc
• Pacific Evaluation Management, LLC
• Pacific Heart Institute
• Pacific Integrative Medical Center, Inc
• Pacific Integrative Medical Group Inc
• Pacific Marriage & Family Therapy Network, a Professional Corporation (Pacific MFT Network)

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.