REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER (NPI# 1912542994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912542994 |
| Entity Type | Organization |
| Organization Name | REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER |
| Practice Address |
11500 W Olympic Blvd, Ste# 150 Los Angeles CA 90064 |
| Practice Telephone | 4242938841 |
| Practice Fax Number | 4242938138 |
| Mailing Telephone | 4242938841 |
| Mailing Fax Number | 4242938138 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | THOMAS KIM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4242938841 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
11500 W OLYMPIC BLVD, STE# 150 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| 1700284957 | Michelle Mccarthy Physical Therapy, Inc | Clinic/Center | 11835 W. Olympic Blvd, Suite 135e, Los Angeles, CA 90064 | 2014-12-19 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1659926327 | Westside Anesthesia Group A Medical Corporation | Clinic/Center | 1964 Westwood Blvd Ste 436, Los Angeles, CA 90025-4695 | 2019-08-08 |
| 1558832741 | Grand Avenue Surgery Center, LLC | Clinic/Center | 1513 S Grand Ave Ste 350, Los Angeles, CA 90015-3075 | 2018-12-16 |
| 1700351194 | Integrative Surgical Associates Group, LLC. | Clinic/Center | 5757 Wilshire Blvd # P2, Los Angeles, CA 90036-5810 | 2018-10-11 |
| 1982180782 | Robertson Surgery Center Inc. | Clinic/Center | 822 S Robertson Blvd Ste 100b, Los Angeles, CA 90035-1613 | 2018-07-14 |
| 1972055382 | Alliance Surgery Partners, LLC | Clinic/Center | 1828 E Cesar Chavez Ave, Los Angeles, CA 90033-2424 | 2016-11-02 |
| 1164895744 | Los Angeles Ambulatory Surgery Center LLC | Clinic/Center | 266 S Harvard Blvd Ste 200, Los Angeles, CA 90004-4339 | 2015-11-04 |
| 1255752747 | Elite Surgery Center of Beverly Hills | Clinic/Center | 6310 San Vicente Blvd Ste 101b, Los Angeles, CA 90048-5498 | 2013-12-30 |
| 1942548003 | Sierra Surgical Services, LLC | Clinic/Center | 2202 S Figueroa St # 6601, Los Angeles, CA 90007-2049 | 2013-01-24 |
| 1770856205 | New Age Surgery Center | Clinic/Center | 903 Crenshaw Blvd Ste 200, Los Angeles, CA 90019-1966 | 2012-02-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.