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WEST COAST FERTILITY CENTERS LLC NPI 1285204834


NPI Information

NPI: 1285204834
Provider Name: WEST COAST FERTILITY CENTERS LLC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 05D0965523

Address:
11160 WARNER AVE STE 411
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 513-1399
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WEST COAST FERTILITY CENTERS LLC is a reproductive endocrinology obstetrics gynecology in Fountain Valley, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. WEST COAST FERTILITY CENTERS LLC NPI is 1285204834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11160 WARNER AVE STE 411
FOUNTAIN VALLEY, CA
ZIP 92708-056
Phone: (714) 513-1399
Fax: (714) 513-1393

The provider's authorized official is Vitaly A Kushnir .
The authorized official title is Medical Director and has the following contact phone number (801) 580-1022.

The CLIA number assigned to this NPI record is 05D0965523 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/27/2021 and was last updated on 6/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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