Organization
FOYOUZI REPRODUCTIVE GENETIC MEDICAL CORPORATION
Active
Other names
Southern California Fertility Center
Organization subpart
No
Provider details
NPI number
Authorized official
NASTARAN FOYOUZI-YOUSEFI MD (CEO AND FOUNDER)
(203) 907-6910
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DR STE B225, LA JOLLA, CA 92037-1709
(203) 907-6910
Mailing address
1371 CAMINITO BALADA, LA JOLLA, CA 92037-7184
(203) 907-6910
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
04/16/2024
Last updated
05/10/2024
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