Healthcare Provider Details

I. General information

NPI: 1265538060
Provider Name (Legal Business Name): REPRODUCTIVE ASSOCIATES MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 ATLANTIC AVE SUITE 508
LONG BEACH CA
90813-3408
US

IV. Provider business mailing address

1045 ATLANTIC AVE SUITE 508
LONG BEACH CA
90813-3408
US

V. Phone/Fax

Practice location:
  • Phone: 562-437-1882
  • Fax: 562-437-5412
Mailing address:
  • Phone: 562-437-1882
  • Fax: 562-437-5412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. BERTRAM E SOHL
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 562-437-1882