Provider Type Icon

SAN DIEGO WOMEN'S MEDICAL CLINIC INC. NPI 1023130002


NPI Information

NPI: 1023130002
Provider Name: SAN DIEGO WOMEN'S MEDICAL CLINIC, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0570328

Address:
4282 GENESEE AVE
SUITE 201
SAN DIEGO, CA
ZIP 92117
Phone: (858) 268-7324
Get Directions

SAN DIEGO WOMEN'S MEDICAL CLINIC, INC. is an obstetrics gynecology in San Diego, 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. SAN DIEGO WOMEN'S MEDICAL CLINIC, INC. NPI is 1023130002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4282 GENESEE AVE
SUITE 201
SAN DIEGO, CA
ZIP 92117-946
Phone: (858) 268-7324
Fax: (858) 268-3894

The provider's authorized official is David Michael Priver .
The authorized official title is President and has the following contact phone number (858) 268-7324.

The CLIA number assigned to this NPI record is 05D0570328 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyC38171CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.