Healthcare Provider Details

I. General information

NPI: 1962522912
Provider Name (Legal Business Name): HOPE IVF, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALTON PKWY STE 201
IRVINE CA
92606-5034
US

IV. Provider business mailing address

2500 ALTON PKWY STE 201
IRVINE CA
92606-5034
US

V. Phone/Fax

Practice location:
  • Phone: 949-387-3888
  • Fax: 949-387-3907
Mailing address:
  • Phone: 949-387-3888
  • Fax: 949-387-3907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. AUDREY J WONG
Title or Position: OFFICE MANAGER
Credential:
Phone: 949-387-3888