Provider Demographics
NPI:1437211687
Name:GEER, CHERYL HARRIS (DO)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:HARRIS
Last Name:GEER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7628
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91359-7628
Mailing Address - Country:US
Mailing Address - Phone:805-482-2634
Mailing Address - Fax:
Practice Address - Street 1:445 ROSEWOOD AVE STE C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5930
Practice Address - Country:US
Practice Address - Phone:805-482-2634
Practice Address - Fax:805-384-9335
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6662207VC0200X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX66620Medicaid
H04281Medicare UPIN
CABA742ZMedicare PIN