Healthcare Provider Details

I. General information

NPI: 1801013768
Provider Name (Legal Business Name): PALMDALE WOMEN AND CHILDREN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 E PALMDALE BLVD SUITE 4
PALMDALE CA
93550-1831
US

IV. Provider business mailing address

3005 E PALMDALE BLVD SUITE 4
PALMDALE CA
93550-1831
US

V. Phone/Fax

Practice location:
  • Phone: 661-575-0009
  • Fax:
Mailing address:
  • Phone: 661-575-0009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA33447
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA33447
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA30390
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG20658
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL GITTER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 661-575-0009