Provider Demographics
NPI:1285785477
Name:WOMEN CARING FOR WOMEN MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:WOMEN CARING FOR WOMEN MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-246-8308
Mailing Address - Street 1:2888 EUREKA WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0210
Mailing Address - Country:US
Mailing Address - Phone:530-246-8308
Mailing Address - Fax:530-246-8528
Practice Address - Street 1:2888 EUREKA WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0210
Practice Address - Country:US
Practice Address - Phone:530-246-8308
Practice Address - Fax:530-246-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21247ZMedicare ID - Type Unspecified