Provider Demographics
NPI:1407818024
Name:WOMEN'S HEALTH SPECIALISTS
Entity Type:Organization
Organization Name:WOMEN'S HEALTH SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:POMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-796-7057
Mailing Address - Street 1:2299 MOWRY AVE
Mailing Address - Street 2:#3C
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1621
Mailing Address - Country:US
Mailing Address - Phone:510-796-7057
Mailing Address - Fax:510-796-5198
Practice Address - Street 1:2299 MOWRY AVE
Practice Address - Street 2:#3C
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1621
Practice Address - Country:US
Practice Address - Phone:510-796-7057
Practice Address - Fax:510-796-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ00952ZMedicare ID - Type Unspecified