Organization
FAMILY FERTILITY CRYOBANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEL I COHEN PHD (COO)
(303) 919-9540
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD STE 2208, SAN DIEGO, CA 92120-5240
(619) 286-3520
(619) 265-1429
Mailing address
6699 ALVARADO RD STE 2208, SAN DIEGO, CA 92120-5240
(619) 286-3520
(619) 265-1429
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790969016
KAISER
CA
Enumeration date
02/21/2020
Last updated
02/21/2020
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