Organization Name: | CARE FOR WOMENS MEDICAL GROUP INC |
NPI Number: | 1265857858 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANKLIN JOHNSON (CEO) |
Mailing Address: | 15944 Los Serranos Country Club Dr Suite 230 Chino Hills |
State: | CA US |
Postal Code: | 917093993 |
Phone Number: | 9093557855 |
Fax Number: | 9093557856 |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 20A7957 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |