GENESIS OBGYN MEDICAL GROUP INC. NPI 1164517132

NPI Information

GENESIS OBGYN MEDICAL GROUP INC. is an obstetrics gynecology in Apple Valley, 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. GENESIS OBGYN MEDICAL GROUP INC. NPI is 1164517132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16000 APPLE VALLEY ROAD
SUITE C3
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-3806
Fax: (760) 946-3809

The provider's authorized official is Wanda Althea Wilburn .
The authorized official title is Owner Of Medical Practice and has the following contact phone number (760) 946-3806.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/29/2011.

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:

Other Identifiers

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