Associated Womens Medical Clinic INC
Obstetrics & Gynecology in Upland, CA. Organization (NPI-2).
NPI number1346352259
StatusActive
Last updated in NPPESJul 22, 2013
Details
- NPI
- 1346352259
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Womens Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
811 E Eleventh Street#104
Upland, CA 91786
Phone 909-985-0793 · Fax 909-985-8326
Mailing address
811 E Eleventh Street#104
Upland, CA 91786
Phone 909-985-0793 · Fax 909-985-8326
Authorized official
Krishna K Srivastava
Secretary
9099850293
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