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SAN DIEGO FERTILITY CENTER MEDICAL GROUPINC NPI 1457494361


NPI Information

NPI: 1457494361
Provider Name: SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 05D0694844

Address:
11425 EL CAMINO REAL
SAN DIEGO, CA
ZIP 92130
Phone: (858) 794-6363
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SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC is a reproductive endocrinology obstetrics gynecology in San Diego, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC NPI is 1457494361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11425 EL CAMINO REAL
SAN DIEGO, CA
ZIP 92130-045
Phone: (858) 794-6363
Fax: (858) 794-6360

The provider's authorized official is Lisa Vandolah .
The authorized official title is Ceo and has the following contact phone number (858) 720-3177.

The CLIA number assigned to this NPI record is 05D0694844 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 4/21/2022.


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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