Organization Name: | WOMEN'S MEDICAL CORP OF HUNTINGTON BEACH |
NPI Number: | 1396729356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEVERLY A SANSONE (MANAGING PARTNER) |
Mailing Address: | 9940 Talbert Ave Suite 303 Fountain Valley |
State: | CA US |
Postal Code: | 927085153 |
Phone Number: | 7143785606 |
Fax Number: | 7143785621 |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G53820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |