Organization
ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYN FERGON NP & CNM (VICE PRESIDENT & CFO)
(760) 327-7900
Entity
Organization
Contact information
Practice address
41990 COOK ST STE H701, PALM DESERT, CA 92211-6103
(760) 564-7900
(760) 327-7905
Mailing address
41990 COOK ST STE H701, PALM DESERT, CA 92211-6103
(760) 327-7900
(760) 327-7905
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
A86905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101242
—
CA
Enumeration date
10/05/2007
Last updated
08/12/2025
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