Organization
OB-GYN ASSOCIATES OF SANTA CRUZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANNA LYN DOHERTY MD (PRESIDENT)
(831) 479-4966
Entity
Organization
Contact information
Practice address
7960B SOQUEL DR # 401, APTOS, CA 95003-3916
(831) 479-4966
(831) 479-4967
Mailing address
1779 DOMINICAN WAY, SANTA CRUZ, CA 95065-1526
(831) 479-4966
(831) 479-4967
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A64380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098130
—
CA
Enumeration date
02/23/2007
Last updated
03/28/2009
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