Provider Demographics
NPI:1265857858
Name:CARE FOR WOMENS MEDICAL GROUP INC
Entity type:Organization
Organization Name:CARE FOR WOMENS MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-355-7855
Mailing Address - Street 1:1310 SAN BERNARDINO RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4979
Mailing Address - Country:US
Mailing Address - Phone:909-355-7855
Mailing Address - Fax:909-355-7856
Practice Address - Street 1:15944 LOS SERRANOS COUNTRY CLUB DR
Practice Address - Street 2:SUITE 230
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3993
Practice Address - Country:US
Practice Address - Phone:909-355-7855
Practice Address - Fax:909-355-7856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE FOR WOMENS MEDICAL GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-19
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7957207VX0000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty