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General NPI Number Information
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NPI Number | 1295865400
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Entity Type | Organization
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Legal Business Name | WOMEN'S CARE OB/GYN MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1019 W LA PALMA AVE UNIT B
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City | ANAHEIM
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State | CA
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Zip | 92801-3664
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Country | US
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Telephone | 714-535-8900
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Fax | 714-778-1418
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Provider Business Mailing Address
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Address Line | 1019 W LA PALMA AVE UNIT B
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City | ANAHEIM
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State | CA
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Zip | 92801-3664
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Country | US
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Telephone | 714-535-8900
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Fax | 714-778-1418
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HELEN H. LUONG
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Credential | MD
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Telephone | 714-535-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A55269
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License Number State | CA
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