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General NPI Number Information
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NPI Number | 1285446773
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Entity Type | Organization
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Legal Business Name | LIFE IVF CENTER LOS ANGELES
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 289 W HUNTINGTON DR STE 400
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City | ARCADIA
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State | CA
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Zip | 91007-3495
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Country | US
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Telephone | 626-777-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 BARRANCA PKWY STE 300
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City | IRVINE
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State | CA
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Zip | 92606-8232
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Country | US
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Telephone | 949-788-1133
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BENJAMIN H YELIAN
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Credential |
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Telephone | 949-788-1133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0006X
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Taxonomy Name | Ambulatory Fertility Facility
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License Number |
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License Number State |
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