National Provider Identifier Database

SAN DIEGO FERTILITY CENTER MEDICAL GROUPINC
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
11425 EL CAMINO REAL
SAN DIEGO, CA92130-2045
Phone: 858-794-6363
Fax: 858-794-6360
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC

NPI Number 1457494361
Legal business name
LBN
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Authorized official LISA VANDOLAH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/14/2007
Last updated 04/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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