Genesis Obgyn Medical Group Inc.

LBN: Genesis Obgyn Medical Group Inc.
Genesis Obgyn Medical Group Inc. is an health care organization with primary practice located at 16000 Apple Valley Road Suite C3, Apple Valley CA 92307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Genesis Obgyn Medical Group Inc. can be contacted via phone (760) 946-3806, or through Wilburn, Wanda Althea via phone (760) 946-3806.

Contact Information

Primary practice address
16000 Apple Valley Road Suite C3 Apple Valley CA 92307
Phone: (760) 946-3806
Fax: (760) 946-3809
Website:
Map and Directions
Authorized official contact:
Name: Wilburn, Wanda Althea Doctor of Medicine (MD)
Phone: (760) 946-3806

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A84253 California

Profile Details

NPI number 1164517132
LBN Legal business name Genesis Obgyn Medical Group Inc.
DBA Doing business as
Authorized official Wilburn, Wanda Althea Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164517132 NPPES
California MEDICAID 00A842530

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