Healthcare Provider Details

I. General information

NPI: 1245669068
Provider Name (Legal Business Name): CALIFORNIA FERTILITY CENTERS, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16055 VENTURA BLVD STE 700
ENCINO CA
91436-2638
US

IV. Provider business mailing address

16055 VENTURA BLVD STE 700
ENCINO CA
91436-2638
US

V. Phone/Fax

Practice location:
  • Phone: 310-888-8448
  • Fax:
Mailing address:
  • Phone: 310-888-8448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN KUO
Title or Position: PRESIDENT
Credential: M.D., PH.D.
Phone: 310-888-8448