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Contact Information

THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY
44105 N. 15TH ST W
SUITE 304
LANCASTER, CA93534
 Phone: 661-949-5899
 Fax: 661-949-5832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY

NPI # 1548226491
LBN Legal business name THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY
Authorized official JEANNINE MATA - (ACCT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 09/27/2018 - About 8 years ago
Identifiers
CA Medicaid 00A380080
CA Medicaid 00G451540
CA Other A88415 DR GUPTA STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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