Provider Demographics
NPI:1699365510
Name:OB/GYN DOCTORS OF SILICON VALLEY
Entity Type:Organization
Organization Name:OB/GYN DOCTORS OF SILICON VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOMERSILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-988-3232
Mailing Address - Street 1:2490 HOSPITAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4124
Mailing Address - Country:US
Mailing Address - Phone:650-988-3232
Mailing Address - Fax:650-988-3272
Practice Address - Street 1:2490 HOSPITAL DR STE 300
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4124
Practice Address - Country:US
Practice Address - Phone:650-988-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty