Healthcare Provider Details

I. General information

NPI: 1407725476
Provider Name (Legal Business Name): CALIFORNIA FERTILITY CLINICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 WILSHIRE BLVD STE 1904
LOS ANGELES CA
90036-4241
US

IV. Provider business mailing address

5455 WILSHIRE BLVD STE 1904
LOS ANGELES CA
90036-4241
US

V. Phone/Fax

Practice location:
  • Phone: 323-525-3377
  • Fax: 323-525-3376
Mailing address:
  • Phone: 323-525-3377
  • Fax: 323-525-3376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. VUK JOVANOVIC
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 323-525-3377