institution
Advanced Ob/gyn & Infertility Medical Group Inc
Specialist in Aliso Viejo, California
NPI 1154432607

Advanced Ob/gyn & Infertility Medical Group Inc is a Specialist based in Aliso Viejo, CA. Advanced Ob/gyn & Infertility Medical Group Inc practices in Aliso Viejo, CA. The NPI Number for Advanced Ob/gyn & Infertility Medical Group Inc is 1154432607 and holds a License No. (California).

The current practice location address for Advanced Ob/gyn & Infertility Medical Group Inc is 24502 Pacific Park Dr, Aliso Viejo, CA and can be reached out via phone at 949-362-1515 and via fax at 949-362-7548.

Location: 24502 Pacific Park Dr, Aliso Viejo, CA, 92656-3033
institution
Provider Profile Details
NPI Number
1154432607
Provider Name
Advanced Ob/gyn & Infertility Medical Group Inc
Credential
Provider Entity Type
Organization
Address
24502 Pacific Park Dr, Aliso Viejo, CA, 92656-3033
Phone Number
949-362-1515
Fax Number
949-362-7548
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0050350 05 CA
GR0050351 05 CA
ZZZ29048Z 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
24502 Pacific Park Dr
City
State
Zip
92656-3033
Phone Number
949-362-1515
Fax Number
949-362-7548
person
Provider Business Mailing Address Details
Address
24502 Pacific Park Dr
City
State
Zip
92656-3033
Phone Number
949-362-1515
Fax Number
949-362-7548
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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