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Organization

SOUTH COAST FERTILITY LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENE ROYSTER (PRACTICE MANAGER)
(949) 848-4500
Entity
Organization

Contact information

Practice address
5 MAREBLU, ALISO VIEJO, CA 92656-3014
(949) 848-4500
(949) 848-4501
Mailing address
5 MAREBLU, ALISO VIEJO, CA 92656-3014
(949) 848-4500
(949) 848-4501

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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