Provider Demographics
NPI:1497040562
Name:ORANGE COUNTY WOMEN'S HEALTHCARE ASSOCIATES
Entity Type:Organization
Organization Name:ORANGE COUNTY WOMEN'S HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:HERNANDEZ
Authorized Official - Last Name:O'DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-535-7245
Mailing Address - Street 1:1211 W LA PALMA AVE
Mailing Address - Street 2:SUITE 609
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2815
Mailing Address - Country:US
Mailing Address - Phone:714-535-7245
Mailing Address - Fax:714-535-1955
Practice Address - Street 1:1211 W LA PALMA AVE
Practice Address - Street 2:SUITE 609
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2815
Practice Address - Country:US
Practice Address - Phone:714-535-7245
Practice Address - Fax:714-535-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105959207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1275738940OtherINDIVIDUAL NPI