Provider Demographics
NPI:1659982130
Name:ANAYA WOMENS OBGYN GROUP INC
Entity type:Organization
Organization Name:ANAYA WOMENS OBGYN GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:IOLA
Authorized Official - Last Name:HOLLINGSWORTH-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-379-3108
Mailing Address - Street 1:18523 CORWIN RD STE E
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2300
Mailing Address - Country:US
Mailing Address - Phone:760-813-3699
Mailing Address - Fax:760-459-0254
Practice Address - Street 1:18523 CORWIN RD STE E
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2300
Practice Address - Country:US
Practice Address - Phone:760-813-3699
Practice Address - Fax:760-459-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty