Provider Demographics
NPI:1205539913
Name:ANTELOPE VALLEY WOMEN'S HEALTHCARE, INC
Entity type:Organization
Organization Name:ANTELOPE VALLEY WOMEN'S HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KALAMANI
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:DHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-644-8672
Mailing Address - Street 1:PO BOX 1877
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90251-1877
Mailing Address - Country:US
Mailing Address - Phone:310-901-4714
Mailing Address - Fax:310-436-0208
Practice Address - Street 1:607 W AVENUE Q STE A
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3872
Practice Address - Country:US
Practice Address - Phone:310-901-4714
Practice Address - Fax:310-436-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty