Provider Demographics
NPI:1669627311
Name:WOMEN PHYSICIANS OB/GYN MEDICAL GROUP
Entity Type:Organization
Organization Name:WOMEN PHYSICIANS OB/GYN MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KENSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-988-7557
Mailing Address - Street 1:2485 HOSPITAL DR STE 221
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4103
Mailing Address - Country:US
Mailing Address - Phone:650-988-7550
Mailing Address - Fax:650-988-7552
Practice Address - Street 1:2485 HOSPITAL DR STE 221
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4103
Practice Address - Country:US
Practice Address - Phone:650-988-7550
Practice Address - Fax:650-988-7552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty