Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY
Active
Organization
THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNINE MATA (ACCT MANAGER)
(661) 949-5899
Entity
Organization
Contact information
Practice address
44105 N. 15TH ST W, SUITE 304, LANCASTER, CA 93534
(661) 949-5899
(661) 949-5832
Mailing address
44105 N. 15TH ST W, SUITE 304, LANCASTER, CA 93534
(661) 949-5899
(661) 949-5832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380080
—
CA
05
—
00G451540
—
CA
01
—
A88415
DR GUPTA STATE LICENSE
CA
Enumeration date
04/20/2006
Last updated
09/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up