MEDICARE: CARE FOR WOMENS MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	20A7957	CA
2	207VG0400X	Gynecology Physician	20A7957	CA

General Provider Information

NPI Number	:	1265857858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FOR WOMENS MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1310 SAN BERNARDINO RD
Second Line	:	SUITE 201
City	:	UPLAND
State	:	CA
Zip	:	91786-4979
Country	:	US
Telephone Number	:	909-355-7855
Fax Number	:	909-355-7856

Provider Business Practice Location Address
First Line	:	15944 LOS SERRANOS COUNTRY CLUB DR
Second Line	:	SUITE 230
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3993
Country	:	US
Telephone Number	:	909-355-7855
Fax Number	:	909-355-7856

Authorized Official
Title or Position	:	CEO
Name	:	DR. FRANKLIN JOHNSON
Credential	:	DO
Telephone Number	:	909-355-7855

Provider Enumeration Date	:	02/19/2014
Last Update Date	:	09/25/2024

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