MEDICARE: SINCERE HEALTHCARE FOR WOMEN A MEDICAL CORPORATION

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	207V00000X	Obstetrics & Gynecology Physician	G47927	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669533477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERE HEALTHCARE FOR WOMEN A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 93457
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91109-3457
Country	:	US
Telephone Number	:	626-792-4747
Fax Number	:	626-441-6300

Provider Business Practice Location Address
First Line	:	1800 FAIR OAKS AVE
Second Line	:	SUITE C
City	:	SOUTH PASADENA
State	:	CA
Zip	:	91030
Country	:	US
Telephone Number	:	626-792-4747
Fax Number	:	626-441-6300

Authorized Official
Title or Position	:	PHYSICIAN OWNER MD CEO
Name	:	BRENDA CAROL SMITH
Credential	:	MD MPH
Telephone Number	:	626-792-4747

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	08/22/2020

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