Healthcare Provider Details

I. General information

NPI: 1033908264
Provider Name (Legal Business Name): BEAUTIFUL BABY CONCEPTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E COLORADO ST STE 400
GLENDALE CA
91205-1607
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 95390
LOS ANGELES CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 818-230-7778
  • Fax:
Mailing address:
  • Phone: 818-230-7778
  • Fax: 888-873-4727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. RODOLFO QUINTERO
Title or Position: CEO
Credential: MD
Phone: 818-230-7778