Provider Demographics
NPI:1700850286
Name:WOMENS HEALTH CARE INC
Entity Type:Organization
Organization Name:WOMENS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROVENA
Authorized Official - Middle Name:R
Authorized Official - Last Name:REAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-292-7200
Mailing Address - Street 1:3750 CONVOY ST STE 312
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3741
Mailing Address - Country:US
Mailing Address - Phone:858-292-7200
Mailing Address - Fax:858-505-0304
Practice Address - Street 1:3750 CONVOY ST STE 312
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3741
Practice Address - Country:US
Practice Address - Phone:858-292-7200
Practice Address - Fax:858-505-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62869207V00000X
CAA68982207V00000X
CAG79877207V00000X
CAG74059207V00000X
CAA62491207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0086960Medicaid
CAGR0086960Medicaid
E02896Medicare UPIN
F36205Medicare UPIN
CAW14931Medicare ID - Type Unspecified
G55194Medicare UPIN
H15542Medicare UPIN