Organization
NEWPORT BEACH IVF, LLC
Active
Parent organization
FPG LABS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FPG LABS LLC
Authorized official
GOLDIE GUPTA (CFO)
(630) 536-7738
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD SUITE 433, NEWPORT BEACH, CA 92663
(818) 858-1080
Mailing address
15821 VENTURA BLVD, SUITE 625, ENCINO, CA 91436
(818) 858-1080
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
CLF00011518
CA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
09/13/2021
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