Organization
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Active
Parent organization
HUNTINGTON REPRODUCTIVE MEDICAL GROUP
Other names
HRC Fertility
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNTINGTON REPRODUCTIVE MEDICAL GROUP
Authorized official
BRADFORD A KOLB M.D. (PRESIDENT & SHAREHOLDER)
(626) 440-6191
Entity
Organization
Contact information
Practice address
11500 W OLYMPIC BLVD, SUITE 504, LOS ANGELES, CA 90064-1524
(310) 481-0881
Mailing address
11500 W OLYMPIC BLVD, SUITE 504, LOS ANGELES, CA 90064-1524
(310) 481-0881
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLM334936
CA
Other
Enumeration date
03/08/2012
Last updated
08/24/2017
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