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SOUTHERN CALIFORNIA REPRODUCTIVE CENTER NPI 1700034261


NPI Information

NPI: 1700034261
Provider Name: SOUTHERN CALIFORNIA REPRODUCTIVE CENTER
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2126295

Address:
450 N ROXBURY DR STE 500
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 277-2393
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SOUTHERN CALIFORNIA REPRODUCTIVE CENTER is a specialist in Beverly Hills, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA REPRODUCTIVE CENTER NPI is 1700034261. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

450 N ROXBURY DR STE 500
BEVERLY HILLS, CA
ZIP 90210-226
Phone: (310) 277-2393

The provider's authorized official is Dee Dee Castro .
The authorized official title is Practice Manager and has the following contact phone number (805) 658-9112.

The CLIA number assigned to this NPI record is 05D2126295 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/8/2008.


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
1174400000XSpecialistA74590CALIFORNIANo
2174400000XSpecialistA76116CALIFORNIAYes

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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