Provider Demographics
NPI:1508977414
Name:REPRODUCTIVE HEALTH CARE CENTER
Entity Type:Organization
Organization Name:REPRODUCTIVE HEALTH CARE CENTER
Other - Org Name:SIERRA HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALAMARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-870-0717
Mailing Address - Street 1:501 S BROOKHURST RD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-3207
Mailing Address - Country:US
Mailing Address - Phone:714-870-0717
Mailing Address - Fax:714-870-5468
Practice Address - Street 1:501 S BROOKHURST RD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-3207
Practice Address - Country:US
Practice Address - Phone:714-870-0717
Practice Address - Fax:714-870-5468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060000016261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70069GMedicaid
CA00A786420Medicaid
CACH05096Medicaid
CA00A671101Medicaid
CAEAP70069GMedicaid
CAA37102Medicare UPIN
CAH13633Medicare UPIN
CAWA67110BMedicare ID - Type UnspecifiedDAVID ASHER, MD
CACH05096Medicaid
CAWA78642AMedicare ID - Type UnspecifiedEDGAR FLORES, MD
CA00A786420Medicaid
CA00A671101Medicaid
CAEAP70069GMedicaid