Organization
ADVANCED OB/GYN & INFERTILITY MEDICAL GROUP INC
Active
Other names
ADVANCED OB/GYN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN GHODSIAN MD (PRESIDENT)
(949) 362-1515
Entity
Organization
Contact information
Practice address
24502 PACIFIC PARK DR, SUITE 105, ALISO VIEJO, CA 92656-3033
(949) 362-1515
(949) 362-7548
Mailing address
24502 PACIFIC PARK DR, SUITE 105, ALISO VIEJO, CA 92656-3033
(949) 362-1515
(949) 362-7548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050350
—
CA
05
—
GR0050351
—
CA
01
—
ZZZ29048Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
08/31/2006
Last updated
03/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us