REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER NPI 1912542994

NPI Information

REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Los Angeles, CA. REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER NPI is 1912542994. The provider is registered as an organization entity type.

The provider's business location address is:

11500 W OLYMPIC BLVD, STE# 150
LOS ANGELES, CA
ZIP 90064
Phone: (424) 293-8841
Fax: (424) 293-8138

The provider's authorized official is Thomas Kim .
The authorized official title is Medical Director and has the following contact phone number (424) 293-8841.

The CLIA number assigned to this NPI record is 05D2158115 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 11/13/2019.

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:

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