OrganizationActive
Advanced Women'S Healthcare, a Medical Corporation
NPI 1144339953 · Obstetrics & Gynecology Physician · Yucca Valley, CA
Provider details
- NPI number
- 1144339953
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jolyn Fergon, Vice President & Cfo(760) 327-7900
- License
- A86905 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
57463 29 Palms Hwy Ste 203
Yucca Valley, CA 92284-2925
Phone: (760) 327-7900
Fax: (760) 327-7905
Approximate (ZIP-level) locationGet directions
Mailing address
41990 Cook St Ste H701
Palm Desert, CA 92211-6103
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.