Organization Name: | PASADENA WOMEN'S MEDICAL GROUP, INC |
NPI Number: | 1770575417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EBENEZER O. AJILORE (MEDICAL DIRECTOR) |
Mailing Address: | 50 Alessandro Pl Suite 310 Pasadena |
State: | CA US |
Postal Code: | 911053149 |
Phone Number: | 6267969114 |
Fax Number: | 6267968523 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A30816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |