Organization
LIFOVUM FERTILITY MANAGMENT, LLC
Active
Other names
Reproductive Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SOMESH ROY (CEO)
(626) 204-9699
Entity
Organization
Contact information
Practice address
500 SUPERIOR AVE STE 130, NEWPORT BEACH, CA 92663-3659
(626) 440-9161
Mailing address
135 S ROSEMEAD BLVD, PASADENA, CA 91107
(626) 204-9699
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
10/27/2017
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