Organization
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VANDOLAH RN,MBA (CEO)
(858) 720-3177
Entity
Organization
Contact information
Practice address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130-2045
(858) 794-6363
(858) 794-6360
Mailing address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130-2045
(858) 794-6363
(858) 794-6360
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
04/21/2022
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