Provider Demographics
NPI:1154436988
Name:TODAY'S WOMEN MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:TODAY'S WOMEN MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AHDOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-700-8300
Mailing Address - Street 1:18350 ROSCOE BLVD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4109
Mailing Address - Country:US
Mailing Address - Phone:818-700-8300
Mailing Address - Fax:818-886-0200
Practice Address - Street 1:18350 ROSCOE BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4109
Practice Address - Country:US
Practice Address - Phone:818-700-8300
Practice Address - Fax:818-886-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA MED BOARD A55849207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A558920Medicaid
G67069Medicare UPIN
W15894Medicare ID - Type Unspecified