Organization
REPRODUCTIVE IMMUNOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MATZNER M.D., PH.D. (DIRECTOR)
(818) 781-5195
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST, SUITE 205, AGOURA HILLS, CA 91301-4233
(818) 781-5195
Mailing address
29525 CANWOOD ST, SUITE 205, AGOURA HILLS, CA 91301-4233
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 10041
CA
Other
Enumeration date
05/03/2007
Last updated
06/01/2008
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