Provider Demographics
NPI:1811095078
Name:EL GATO MEDICAL CLINIC FOR WOMEN, INC.
Entity type:Organization
Organization Name:EL GATO MEDICAL CLINIC FOR WOMEN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-866-4200
Mailing Address - Street 1:360 DARDANELLI LANE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1421
Mailing Address - Country:US
Mailing Address - Phone:408-866-4200
Mailing Address - Fax:408-866-4943
Practice Address - Street 1:360 DARDANELLI LANE
Practice Address - Street 2:SUITE 2A
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1421
Practice Address - Country:US
Practice Address - Phone:408-866-4200
Practice Address - Fax:408-866-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0044410Medicaid
CAGR0044410Medicaid
CAZZZ739472Medicare UPIN