Healthcare Provider Details
I. General information
NPI: 1598998262
Provider Name (Legal Business Name): REPRODUCTIVE HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2009
Last Update Date: 06/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13768 ROSWELL AVE SUITE 109
CHINO CA
91710-1401
US
IV. Provider business mailing address
435 ARDEN AVE STE 340
GLENDALE CA
91203-4017
US
V. Phone/Fax
- Phone: 818-246-7245
- Fax: 818-246-7265
- Phone: 818-246-7245
- Fax: 818-246-7265
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | G85448 |
| License Number State | CA |
VIII. Authorized Official
Name:
ROSELYN
M
DINSAY
Title or Position: PRESIDENT
Credential: MD
Phone: 818-246-7245