# REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912542994
- **Authorized official:** THOMAS KIM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (424) 293-8841

## Contact information

- **Practice address:** 11500 W OLYMPIC BLVD, STE\# 150, LOS ANGELES, CA 90064
- **Practice address phone:** (424) 293-8841
- **Practice address fax:** (424) 293-8138
- **Mailing address:** 11500 W OLYMPIC BLVD, STE\# 150, LOS ANGELES, CA 90064
- **Mailing address phone:** (424) 293-8841
- **Mailing address fax:** (424) 293-8138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019