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MICHAEL WOMEN'S MEDICAL CLINIC NPI 1386654143


NPI Information

NPI: 1386654143
Provider Name: MICHAEL WOMEN'S MEDICAL CLINIC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
920 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 623-3591
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MICHAEL WOMEN'S MEDICAL CLINIC is an obstetrics gynecology in Pomona, 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. MICHAEL WOMEN'S MEDICAL CLINIC NPI is 1386654143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

920 N GAREY AVE
POMONA, CA
ZIP 91767-618
Phone: (909) 623-3591
Fax: (909) 623-3504

The provider's authorized official is Robert S Lee .
The authorized official title is Owner/medical Director and has the following contact phone number (909) 623-3591.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/22/2009.


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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W2836MEDICARE UPINCALIFORNIA
2GR0076350MEDICAIDCALIFORNIA

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: 11/14/2023

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