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General NPI Number Information
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NPI Number | 1922660893
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Entity Type | Organization
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Legal Business Name | MACER FERTILITY INC.
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 550 DEEP VALLEY DR STE 287
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-7600
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Country | US
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Telephone | 310-541-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 550 DEEP VALLEY DR STE 287
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-7600
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Country | US
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Telephone | 310-541-8400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW L MACER
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Credential | MD
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Telephone | 310-541-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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