Organization
STORK CLUB FERTILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENI MAYORSKAYA (CHIEF EXECUTIVE OFFICER)
(415) 801-0467
Entity
Organization
Contact information
Practice address
1 BLUXOME STREET, SUITE 203, SAN FRANCISCO, CA 94107-5518
(415) 801-0467
(415) 801-0467
Mailing address
1 BLUXOME STREET, SUITE 203, SAN FRANCISCO, CA 94107-5518
(415) 801-0467
(415) 801-0467
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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