Huntington Reproductive Center Medical Group, a Medical Corporation

NPI #1407122260 in Laguna Hills, California

Provider Information

NPI Number
1407122260
Entity Type
Organization
Organization Name
Huntington Reproductive Center Medical Group, a Medical Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
HUNTINGTON REPRODUCTIVE MEDICAL GROUP
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Mar 27, 2012
Last Updated
Aug 24, 2017

Practice Location

Address
23961 CALLE DE LA MAGDALENA
Address 2
SUITE 503
ZIP Code
92653-3616
Phone
(949) 472-9446

Authorized Official

Name
BRADFORD A KOLB, M.D.
Title
PRESIDENT & SHAREHOLDER
Phone
(626) 440-6191

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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