Provider Demographics
NPI:1629128855
Name:MATERNAL FETAL CONSULTANTS
Entity Type:Organization
Organization Name:MATERNAL FETAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:I
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-835-0101
Mailing Address - Street 1:1140 W LA VETA AVE
Mailing Address - Street 2:SUITE 560
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4223
Mailing Address - Country:US
Mailing Address - Phone:714-835-0101
Mailing Address - Fax:714-835-1133
Practice Address - Street 1:1140 W LA VETA AVE
Practice Address - Street 2:SUITE 560
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4223
Practice Address - Country:US
Practice Address - Phone:714-835-0101
Practice Address - Fax:714-835-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24417Medicare UPIN
CAE83419Medicare UPIN
CAA39589Medicare UPIN