Provider Demographics
NPI:1417961343
Name:MEDICAL CENTER FOR WOMEN
Entity Type:Organization
Organization Name:MEDICAL CENTER FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHLESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-992-5350
Mailing Address - Street 1:1950 SUNNY CREST DR
Mailing Address - Street 2:SUITE 2800 MEDICAL CENTER FOR WOMEN
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3618
Mailing Address - Country:US
Mailing Address - Phone:714-992-5350
Mailing Address - Fax:714-992-8156
Practice Address - Street 1:1950 SUNNY CREST DR
Practice Address - Street 2:SUITE 2800 MEDICAL CENTER FOR WOMEN
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3618
Practice Address - Country:US
Practice Address - Phone:714-992-5350
Practice Address - Fax:714-992-8156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare UPIN
CAW2940Medicare ID - Type Unspecified