Provider Demographics
NPI:1811407489
Name:SHARON E. MOAYERI, M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SHARON E. MOAYERI, M.D., A MEDICAL CORPORATION
Other - Org Name:OC FERTILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-706-2229
Mailing Address - Street 1:1401 AVOCADO AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8725
Mailing Address - Country:US
Mailing Address - Phone:949-706-2229
Mailing Address - Fax:
Practice Address - Street 1:1401 AVOCADO AVE STE 403
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-8725
Practice Address - Country:US
Practice Address - Phone:949-706-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty