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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 Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

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

NPI # 1457494361
LBN Legal business name SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Authorized official LISA VANDOLAH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2007
Last updated 04/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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