Organization
LA JOLLA IVF,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B SMOTRICH M.D. (FOUNDER AND MEDICAL DIRECTOR)
(858) 558-2221
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 610, LA JOLLA, CA 92037-1224
(858) 558-2221
(858) 558-2263
Mailing address
9850 GENESEE AVE, SUITE 610, LA JOLLA, CA 92037-1224
(858) 558-2221
(858) 558-2260
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330746395
TAX ID
CA
Enumeration date
01/02/2007
Last updated
05/24/2023
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