Organization
WEST COAST FERTILITY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALY A KUSHNIR MD (MEDICAL DIRECTOR)
(801) 580-1022
Entity
Organization
Contact information
Practice address
11160 WARNER AVE STE 411, FOUNTAIN VALLEY, CA 92708-4056
(714) 513-1399
(714) 513-1393
Mailing address
11160 WARNER AVE STE 411, FOUNTAIN VALLEY, CA 92708-4056
(714) 513-1399
(714) 513-1393
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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