Provider Demographics
NPI:1407976996
Name:CALIFORNIA FERTILITY PARTNERS
Entity Type:Organization
Organization Name:CALIFORNIA FERTILITY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-857-6251
Mailing Address - Street 1:11818 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6646
Mailing Address - Country:US
Mailing Address - Phone:310-828-4008
Mailing Address - Fax:310-828-3310
Practice Address - Street 1:11818 WILSHIRE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6646
Practice Address - Country:US
Practice Address - Phone:310-828-4008
Practice Address - Fax:310-828-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty