# MONTEREY WOMENS HEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144390956
- **Authorized official:** DR. TRICIA ELLIS MARKUSEN MD (PRESIDENT)
- **Authorized official phone:** (831) 649-0175

## Contact information

- **Practice address:** 889 PACIFIC STREET, MONTEREY, CA 93940
- **Practice address phone:** (831) 649-0175
- **Practice address fax:** (831) 646-0220
- **Mailing address:** PO BOX 1430, MONTEREY, CA 93942-1430
- **Mailing address phone:** (831) 649-0175
- **Mailing address fax:** (831) 646-0220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A64635 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 12/13/2018