FAIR OAKS WOMEN'S HEALTH NPI 1700044435

NPI Information

FAIR OAKS WOMEN'S HEALTH is an obstetrics gynecology in Pasadena, 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. FAIR OAKS WOMEN'S HEALTH NPI is 1700044435. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 S FAIR OAKS AVE
SUITE 255
PASADENA, CA
ZIP 91105-613
Phone: (626) 304-2626
Fax: (626) 585-0695

The provider's authorized official is Bryan S Jick .
The authorized official title is Owner and has the following contact phone number (626) 304-2626.

The CLIA number assigned to this NPI record is 05D2079711 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 6/27/2022.

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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