Provider Demographics
NPI:1639343510
Name:WOMEN'S HEALTH CENTER
Entity Type:Organization
Organization Name:WOMEN'S HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PINCHES
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:714-441-0411
Mailing Address - Street 1:901 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2826
Mailing Address - Country:US
Mailing Address - Phone:714-441-0411
Mailing Address - Fax:562-498-5899
Practice Address - Street 1:3771 KATELLA AVE STE 219
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3119
Practice Address - Country:US
Practice Address - Phone:562-596-5566
Practice Address - Fax:562-498-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6917207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ49492ZMedicaid