Provider Demographics
NPI:1336529361
Name:REPRODUCTIVE SCIENCES MANAGEMENT
Entity Type:Organization
Organization Name:REPRODUCTIVE SCIENCES MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TIPPETTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-436-7186
Mailing Address - Street 1:3661 VALLEY CENTRE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3340
Mailing Address - Country:US
Mailing Address - Phone:858-436-7186
Mailing Address - Fax:858-436-7170
Practice Address - Street 1:3661 VALLEY CENTRE DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3340
Practice Address - Country:US
Practice Address - Phone:858-436-7186
Practice Address - Fax:858-436-7170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLA00011398291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory