Organization
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP A MEDICAL CORPORATION
Active
Parent organization
HUNTINGTON REPRODUCTIVE MEDICAL GROUP
Other names
HRC Fertility
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNTINGTON REPRODUCTIVE MEDICAL GROUP
Authorized official
BRADFORD A KOLB M.D. (PRESIDENT & SHAREHOLDER)
(626) 440-6191
Entity
Organization
Contact information
Practice address
1220 LA VENTA DR, SUITE 103, WESTLAKE VILLAGE, CA 91361-3703
(805) 374-1737
Mailing address
1220 LA VENTA AVE, SUITE 103, WESTLAKE VILLAGE, CA 91361
(805) 374-1737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF330787
CA
Other
Enumeration date
03/26/2012
Last updated
08/24/2017
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