Reproductive Surgical Asso Surgery Ctr

NPI 1194056655 - Clinic/Center - 261QA1903X

NPI Details
NPI 1194056655
Enumeration Date 01/22/2010
Last Updated 01/22/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROGER ROGER
Position CEO
Phone (818) 788-7288
Fax
Practice Location
15503 VENTURA BLVD STE 100
ENCINO CA, 91436-3114, US
Phone (818) 788-7288
Fax
Business Location
15503 VENTURA BLVD STE 100
ENCINO CA, 91436-3114, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Reproductive Surgical Asso Surgery Ctr NPI is 1194056655, taxonomy code is 261QA1903X Reproductive Surgical Asso Surgery Ctr physically located at 15503 Ventura Blvd Ste 100, Encino CA, 91436-3114. NPI Number 1033115704 has the healthcare provider type.

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1194056655 NPI number is provided on an as is basis without warranty of any kind. 1194056655 is maintained by the National Plan & Provider Enumeration System. The contents of Reproductive Surgical Asso Surgery Ctr are for informational purposes only.