Simi Obstetrics & Gynecology Medical Group A Medical Corp.

Obstetrics & Gynecology in Simi Valley, CA. Organization (NPI-2).

NPI number1487858932

StatusActive

Last updated in NPPESJul 16, 2015

Details

NPI: 1487858932
Entity type: Organization (NPI-2)
Legal business name: Simi Obstetrics & Gynecology Medical Group A Medical Corp.
Organization subpart: No
Enumeration date: Jun 11, 2007
Last updated: Jul 16, 2015

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207V00000X	Obstetrics & Gynecology	–	–	Yes

Practice location

1147 Red Tail Way
Simi Valley, CA 93065-7232

Phone 805-527-8055 · Fax 805-520-8849

Mailing address

1147 Red Tail Way
Simi Valley, CA 93065-7232

Phone 805-527-8055 · Fax 805-520-8849

Authorized official

Catherine Kim
Cfo
8055278055

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Other Obstetrics & Gynecology Physician providers in Simi Valley, CA

All 13 Obstetrics & Gynecology Physician providers in Simi Valley · All 2,226 providers in Simi Valley

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