Cenigent Health Enhancement Medical Institute, A Medical Corporation

Clinic/Center, Primary Care in Santa Monica, CA. Organization (NPI-2).

NPI number1194057901

StatusActive

Last updated in NPPESFeb 3, 2010

Details

NPI: 1194057901
Entity type: Organization (NPI-2)
Legal business name: Cenigent Health Enhancement Medical Institute, A Medical Corporation
Organization subpart: No
Enumeration date: Feb 3, 2010
Last updated: Feb 3, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2300X	Clinic/Center, Primary Care	A063230	CA	Yes
261QG0250X	Clinic/Center, Genetics	A063230	CA
261QH0100X	Clinic/Center, Health Services	A063230	CA
261QM2500X	Clinic/Center, Medical Specialty	A063230	CA

Other names

Cenigent Medical INC. (Other Name)

Practice location

2222 Santa Monica Blvd
Suite 200
Santa Monica, CA 90404-2304

Phone 310-998-8600 · Fax 310-998-8662

Mailing address

2222 Santa Monica Blvd
Suite 200
Santa Monica, CA 90404-2304

Phone 310-998-8600 · Fax 310-998-8662

Authorized official

Lida Ghaderi
Medical Director
3109988600

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