Provider Demographics
NPI:1447418413
Name:CENTER FOR WOMEN'S WELL BEING
Entity type:Organization
Organization Name:CENTER FOR WOMEN'S WELL BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:GEER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:805-482-2634
Mailing Address - Street 1:PO BOX 7628
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91359-7628
Mailing Address - Country:US
Mailing Address - Phone:805-482-2634
Mailing Address - Fax:805-384-9335
Practice Address - Street 1:445 ROSEWOOD AVE STE C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5930
Practice Address - Country:US
Practice Address - Phone:805-482-2634
Practice Address - Fax:805-384-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6662207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABD401AMedicare PIN