Organization
PREVENTIVE WOMEN'S HEALTH CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN PATRICE BAXTER-JONES M.D. (MEDICAL DIRECTOR)
(858) 277-1113
Entity
Organization
Contact information
Practice address
7625 MESA COLLEGE DR, 101, SAN DIEGO, CA 92111-5343
(858) 277-1113
(858) 277-7639
Mailing address
7625 MESA COLLEGE DR, 101, SAN DIEGO, CA 92111-5343
(858) 277-1113
(858) 277-7639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G54625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G546250
—
CA
Enumeration date
06/17/2006
Last updated
08/22/2020
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