Provider Demographics
NPI:1164086294
Name:WOMEN'S SPECIALTY CARE LLC
Entity Type:Organization
Organization Name:WOMEN'S SPECIALTY CARE LLC
Other - Org Name:WOMEN'S SPECIALTY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BURLINGAME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-762-1996
Mailing Address - Street 1:970 N KALAHEO AVE STE A108
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1868
Mailing Address - Country:US
Mailing Address - Phone:808-762-1996
Mailing Address - Fax:808-441-0022
Practice Address - Street 1:970 N KALAHEO AVE STE A108
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1868
Practice Address - Country:US
Practice Address - Phone:808-762-1996
Practice Address - Fax:808-441-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty