SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC – NPI #1457494361
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1457494361 to SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC on February 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 4 years ago on Apr 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC below.

NPI Profile for
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC

NPI Number
1457494361
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Primary location
11425 EL CAMINO REAL
SAN DIEGO, CA 92130-2045
Phone: (858) 794-6363 Fax: (858) 794-6360
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA VANDOLAH
CEO
Phone: (858) 720-3177
Updated
Certification Date
Apr 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.