Provider Demographics
NPI:1043229263
Name:CREATING HARMONY WOMEN'S HEALTHCARE INC
Entity Type:Organization
Organization Name:CREATING HARMONY WOMEN'S HEALTHCARE INC
Other - Org Name:CREATING HARMONY WOMEN'S HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KROMHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-548-0033
Mailing Address - Street 1:1941 JOHNSON AVE
Mailing Address - Street 2:SUITE #202
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-4140
Mailing Address - Country:US
Mailing Address - Phone:805-548-0033
Mailing Address - Fax:805-548-0034
Practice Address - Street 1:1941 JOHNSON AVE
Practice Address - Street 2:SUITE #202
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4140
Practice Address - Country:US
Practice Address - Phone:805-548-0033
Practice Address - Fax:805-548-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88432207V00000X
CA7319363LW0102X
CA1041367A00000X
CA430367A00000X
CA1530367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty