Provider Demographics
NPI:1265690903
Name:AMERICAN REPRODUCTIVE HEALTH CENTER
Entity type:Organization
Organization Name:AMERICAN REPRODUCTIVE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:FU
Authorized Official - Middle Name:NAN
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-336-6368
Mailing Address - Street 1:2020 S HACIENDA BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4265
Mailing Address - Country:US
Mailing Address - Phone:626-336-6368
Mailing Address - Fax:626-336-2152
Practice Address - Street 1:2020 S HACIENDA BLVD
Practice Address - Street 2:SUITE J
Practice Address - City:HACIENDA HTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4265
Practice Address - Country:US
Practice Address - Phone:626-336-6368
Practice Address - Fax:626-336-2152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93089284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital