Healthcare Provider Details

I. General information

NPI: 1770895526
Provider Name (Legal Business Name): CARE FERTILITY SURGERY CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2010
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 95390
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

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

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. RODOLFO QUINTERO
Title or Position: OWNER
Credential:
Phone: 818-230-7778