Healthcare Provider Details
I. General information
NPI: 1710692280
Provider Name (Legal Business Name): WOMENS HEALTH CENTER OF SILICON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2495 HOSPITAL DR STE 505
MOUNTAIN VIEW CA
94040-4157
US
IV. Provider business mailing address
2495 HOSPITAL DR STE 505
MOUNTAIN VIEW CA
94040-4157
US
V. Phone/Fax
- Phone: 408-368-2676
- Fax:
- Phone: 408-368-2676
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
XUANANH
TRAN
Title or Position: OWNER
Credential: MD
Phone: 408-368-2676