# LOS OLIVOS WOMEN'S MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Olivos Womens Medical Group,Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922068402
- **Authorized official:** MS. DEBBIE L SANDERS (MANAGER)
- **Authorized official phone:** (408) 358-4845

## Contact information

- **Practice address:** 15151 NATIONAL AVE, LOS GATOS, CA 95032-2627
- **Practice address phone:** (408) 358-4845
- **Practice address fax:** (408) 358-1602
- **Mailing address:** PO BOX 11855, BELFAST, ME 04915-4009
- **Mailing address phone:** (408) 358-4845
- **Mailing address fax:** (408) 358-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 03/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ70380Z | PTAN | CA |