Provider Demographics
NPI:1659560654
Name:WOMEN 2 WOMEN MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:WOMEN 2 WOMEN MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GUNJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATNAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-559-1099
Mailing Address - Street 1:33 CREEK ROAD
Mailing Address - Street 2:#270
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7707
Mailing Address - Country:US
Mailing Address - Phone:949-559-1099
Mailing Address - Fax:949-559-1199
Practice Address - Street 1:33 CREEK RD
Practice Address - Street 2:#270
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7707
Practice Address - Country:US
Practice Address - Phone:949-559-1099
Practice Address - Fax:949-559-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77891207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17195Medicare PIN