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1093858946 NPI number — SDFC IVF AND ANDROLOGY LABORATORY

NPI Number: 1093858946
Health Care Provider/Practitioner: SDFC IVF AND ANDROLOGY LABORATORY

Information about “1093858946” NPI (SDFC IVF AND ANDROLOGY LABORATORY) exists in 1093858946 in HTML format HTML  |  1093858946 in plain Text format TXT  |  1093858946 in PDF (Portable Document Format) PDF  |  1093858946 in an XML format XML  formats.

NPI Number : 1093858946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093858946",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SDFC IVF AND ANDROLOGY LABORATORY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11515 EL CAMINO REAL STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92130-3034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-794-6363",
    "MailingAddressFaxNumber": "858-794-6360",
    "FirstLinePracticeLocationAddress": "11515 EL CAMINO REAL STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92130-3034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-794-6363",
    "PracticeLocationAddressFaxNumber": "858-794-6360",
    "EnumerationDate": "02/14/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VANDOLAH",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN,MBA",
    "AuthorizedOfficialTelephoneNumber": "858-720-3177",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0006X",
        "TaxonomyName": "Ambulatory Fertility Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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