Provider Demographics
NPI:1528144631
Name:SILICON VALLEY WOMAN TO WOMAN MED ASSOC
Entity type:Organization
Organization Name:SILICON VALLEY WOMAN TO WOMAN MED ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-358-6566
Mailing Address - Street 1:14601 SOUTH BASCOM AVE
Mailing Address - Street 2:STE # 230
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032
Mailing Address - Country:US
Mailing Address - Phone:408-358-6566
Mailing Address - Fax:408-358-6536
Practice Address - Street 1:14601 SOUTH BASCOM AVE
Practice Address - Street 2:# 230
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032
Practice Address - Country:US
Practice Address - Phone:408-358-6566
Practice Address - Fax:408-358-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6046440207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G46440Medicare ID - Type Unspecified