Provider Demographics
NPI:1538381751
Name:WOMEN'S PRIMARY HEALTH PHYSICIANS-ORANGE COUNTY, A MEDICAL GROUP, INC
Entity type:Organization
Organization Name:WOMEN'S PRIMARY HEALTH PHYSICIANS-ORANGE COUNTY, A MEDICAL GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:E.
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ANZALDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-487-2850
Mailing Address - Street 1:P.O. BOX 2638
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-2638
Mailing Address - Country:US
Mailing Address - Phone:949-487-2850
Mailing Address - Fax:949-487-0332
Practice Address - Street 1:1310 W. STEWART DRIVE
Practice Address - Street 2:SUITE 406
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:949-487-2850
Practice Address - Fax:949-487-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Single Specialty