Organization Name: | OPEN DOOR COMMUNITY HEALTH CENTERS |
NPI Number: | 1730330739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHEYENNE SPETZLER (COO) |
Mailing Address: | 38883 Highway 299 Willow Creek |
State: | CA US |
Postal Code: | 955730726 |
Phone Number: | 5306293111 |
Fax Number: | 5306293122 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |