Organization Active NPI

Womens Health and Reproductive Center a Medical Group Inc

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1962690669
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G70386 Issued in CA
Legal business name
WOMENS HEALTH AND REPRODUCTIVE CENTER A MEDICAL GROUP INC
Practice address
10861 Cherry St.
Suite 109
Los Alamitos, CA 90720-5400
Phone
(562) 431-3606
Fax
(562) 430-5975
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joel Kizner, M.D,
Title
President
Phone
(562) 431-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G70386 CA Primary

Addresses

Primary practice location

10861 Cherry St.
Suite 109
Los Alamitos, CA 90720-5400

Mailing address

10861 Cherry St.
Suite 109
Los Alamitos, CA 90720-5400
Phone (562) 431-3606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1962690669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST.",
            "address_2": "SUITE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-431-3606",
            "fax_number": "562-430-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST.",
            "address_2": "SUITE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-431-3606",
            "fax_number": "562-430-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH AND REPRODUCTIVE CENTER A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "KIZNER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-431-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G70386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.