Provider Demographics
NPI:1396363552
Name:GLOBAL PREMIER FERTILITY - ORANGE COUNTY PC DBA RISE FERTILITY
Entity Type:Organization
Organization Name:GLOBAL PREMIER FERTILITY - ORANGE COUNTY PC DBA RISE FERTILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:OZAETA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:310-245-6929
Mailing Address - Street 1:3333 W COAST HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4058
Mailing Address - Country:US
Mailing Address - Phone:949-650-7473
Mailing Address - Fax:949-548-3333
Practice Address - Street 1:3333 W COAST HWY STE 300
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4058
Practice Address - Country:US
Practice Address - Phone:949-650-7473
Practice Address - Fax:949-548-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty