Provider Demographics
NPI:1679653406
Name:REPRODUCTIVE SCIENCE CENTER OF THE SAN FRANCISCO BAY AREA
Entity Type:Organization
Organization Name:REPRODUCTIVE SCIENCE CENTER OF THE SAN FRANCISCO BAY AREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT OF OPERATI
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-810-0707
Mailing Address - Street 1:100 PARK PLACE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-867-1800
Mailing Address - Fax:925-973-5064
Practice Address - Street 1:100 PARK PLACE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-867-1800
Practice Address - Fax:925-973-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility FacilityGroup - Multi-Specialty