Provider Demographics
NPI:1487787248
Name:CHULA VISTA WOMENS CARE INC
Entity type:Organization
Organization Name:CHULA VISTA WOMENS CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHUBERT
Authorized Official - Middle Name:JUSAY
Authorized Official - Last Name:ATIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-482-0820
Mailing Address - Street 1:752 MEDICAL CENTER CT STE 106
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6659
Mailing Address - Country:US
Mailing Address - Phone:619-482-8406
Mailing Address - Fax:619-482-6656
Practice Address - Street 1:752 MEDICAL CENTER CT STE 106
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6659
Practice Address - Country:US
Practice Address - Phone:619-482-8406
Practice Address - Fax:619-482-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty