PACIFIC COAST REPRODUCTIVE CENTER INC NPI 1821195009

NPI Information

  • NPI: 1821195009
  • Provider Name: PACIFIC COAST REPRODUCTIVE CENTER, INC
  • Classification: Clinic/Center - 261QA0006X
  • Specialization: Ambulatory Fertility Facility
  • Entity Type: Organization
  • Former Legal Business Name: PACIFIC COAST SURGICAL CENTER
  • Address: 3720 LOMITA BLVD
    SUITE 200
    TORRANCE, CA
    ZIP 90505
  • Phone: (310) 376-7000

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NPI Details

PACIFIC COAST REPRODUCTIVE CENTER, INC is an ambulatory fertility facility clinic center in Torrance, CA. The provider is a fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) PACIFIC COAST REPRODUCTIVE CENTER, INC NPI is 1821195009. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pacific Coast Surgical Center.

The provider's business location address is:

3720 LOMITA BLVD
SUITE 200
TORRANCE, CA
ZIP 90505-884
Phone: (310) 376-7000
Fax: (310) 373-0319

The provider's authorized official is Rifaat Dover Salem .
The authorized official title is Medical Director and has the following contact phone number (310) 376-7000.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0006XClinic/CenterAmbulatory Fertility FacilityG046242CALIFORNIAYes

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This page was last updated on: 3/30/2025

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