Provider Demographics
NPI:1982817698
Name:ASSISTED REPRODUCTIVE TECHNOLOGIES MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:ASSISTED REPRODUCTIVE TECHNOLOGIES MEDICAL GROUP, INC.
Other - Org Name:A.R.T. MEDICAL GROUP, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-986-1070
Mailing Address - Street 1:5353 BALBOA BLVD
Mailing Address - Street 2:#301
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2804
Mailing Address - Country:US
Mailing Address - Phone:818-986-1070
Mailing Address - Fax:818-986-9178
Practice Address - Street 1:5353 BALBOA BLVD
Practice Address - Street 2:#301
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2804
Practice Address - Country:US
Practice Address - Phone:818-986-1070
Practice Address - Fax:818-986-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory