Provider Demographics
NPI:1427250950
Name:WOMEN'S CHOICE MATERNITY CLINIC
Entity type:Organization
Organization Name:WOMEN'S CHOICE MATERNITY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KADZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-987-5416
Mailing Address - Street 1:7100 VAN NUYS BLVD
Mailing Address - Street 2:#113
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3063
Mailing Address - Country:US
Mailing Address - Phone:818-909-0004
Mailing Address - Fax:818-909-0008
Practice Address - Street 1:7100 VAN NUYS BLVD
Practice Address - Street 2:#113
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3063
Practice Address - Country:US
Practice Address - Phone:818-909-0004
Practice Address - Fax:818-909-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty