WOMEN'S OBGYN NPI 1316439979

NPI Information

WOMEN'S OBGYN is an obstetrics gynecology in Santa Rosa, CA. The provider is 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. WOMEN'S OBGYN NPI is 1316439979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 SONOMA AVENUE
SUITE 202
SANTA ROSA, CA
ZIP 95405
Phone: (707) 575-1626
Fax: (707) 575-3941

The provider's authorized official is Lela M. Emad .
The authorized official title is President and has the following contact phone number (707) 575-1626.

The CLIA number assigned to this NPI record is 05D2165665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 2/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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