Healthcare Provider Details

I. General information

NPI: 1124263926
Provider Name (Legal Business Name): ABOVE PARR WOMENS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2008
Last Update Date: 07/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W PARR AVE SUITE I
LOS GATOS CA
95032-1442
US

IV. Provider business mailing address

700 W PARR AVE SUITE I
LOS GATOS CA
95032-1442
US

V. Phone/Fax

Practice location:
  • Phone: 408-370-3630
  • Fax:
Mailing address:
  • Phone: 408-370-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VB0002X
TaxonomyObesity Medicine (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA POLLARD
Title or Position: PHYSICIAN / OWNER
Credential: MD
Phone: 408-370-3630