Organization
REPRODUCTIVE SPECIALTY SURGERICAL CENTER, INC.
Active
Organization
REPRODUCTIVE SPECIALTY SURGERICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE B WERLIN M.D. (PRESIDENT)
(949) 726-0648
Entity
Organization
Contact information
Practice address
15500 SAND CANYON AVE, SUITE 100, IRVINE, CA 92618-7709
(949) 726-0600
(949) 726-0601
Mailing address
15500 SAND CANYON AVE, SUITE 100, IRVINE, CA 92618-7709
(949) 726-0600
(949) 726-0601
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
4567
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05C0002020
CMS
CA
Enumeration date
12/12/2013
Last updated
12/12/2013
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