Organization
INCINTA FERTILITY CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MENENDEZ (BILLER)
(310) 591-4453
Entity
Organization
Contact information
Practice address
21545 HAWTHORNE BLVD # B, TORRANCE, CA 90503-6609
(424) 212-4087
(424) 212-4088
Mailing address
21545 HAWTHORNE BLVD # B, TORRANCE, CA 90503-6609
(424) 212-4087
(424) 212-4088
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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