Provider Demographics
NPI:1245414739
Name:WOMENS HEALTHCARE PHYSICIANS
Entity Type:Organization
Organization Name:WOMENS HEALTHCARE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:I
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-835-0101
Mailing Address - Street 1:1441 AVOCADO AVE STE 608
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7707
Mailing Address - Country:US
Mailing Address - Phone:949-644-7433
Mailing Address - Fax:949-644-4608
Practice Address - Street 1:1441 AVOCADO AVE STE 608
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7707
Practice Address - Country:US
Practice Address - Phone:949-644-7433
Practice Address - Fax:949-644-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG15683174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE83419Medicare PIN
CAF04325Medicare PIN
CAW1384Medicare PIN
CAA39589Medicare PIN