Provider Demographics
NPI:1740331669
Name:CALIFORNIA CENTER OF REPRODUCTIVE MEDICINE
Entity type:Organization
Organization Name:CALIFORNIA CENTER OF REPRODUCTIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LORI ARNOLD M.D.,F.A.C.O.G.
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-397-2950
Mailing Address - Street 1:PO BOX 1318
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92038-1318
Mailing Address - Country:US
Mailing Address - Phone:619-397-2950
Mailing Address - Fax:619-397-4649
Practice Address - Street 1:752 MEDICAL CENTER CT STE 207
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6660
Practice Address - Country:US
Practice Address - Phone:619-397-2950
Practice Address - Fax:619-397-4649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty