NPIMap

Organization Active NPI

Huntington Reproductive Center Medical Group, a Medical Corporation

Doing business as HRC Fertility

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1215202247
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLM334936 Issued in CA
Legal business name
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Doing business as
HRC Fertility
Practice address
11500 W Olympic Blvd
Suite 504
Los Angeles, CA 90064-1524
Phone
(310) 481-0881
NPI assigned
Mar 8, 2012
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HUNTINGTON REPRODUCTIVE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradford A Kolb, M.D.
Title
President & Shareholder
Phone
(626) 440-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLM334936 CA Primary

Addresses

Primary practice location

11500 W Olympic Blvd
Suite 504
Los Angeles, CA 90064-1524

Mailing address

11500 W Olympic Blvd
Suite 504
Los Angeles, CA 90064-1524
Phone (310) 481-0881

Other names 1

  • HRC Fertility Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1062688Huntington Reproductive Center11500 W Olympic Blvd Ste 504, Los Angeles, CA 90064ComplianceJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Huntington Reproductive Center Medical Group11 organizations share this tax ID, including this one
Part of
Huntington Reproductive Center Medical Group

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11500 W Olympic Blvd
Ste 504
Los Angeles, CA 90064
Phone (310) 481-0881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1215202247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641524",
            "telephone_number": "310-481-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641524",
            "telephone_number": "310-481-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUNTINGTON REPRODUCTIVE MEDICAL GROUP",
        "enumeration_date": "2012-03-08",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & SHAREHOLDER",
        "authorized_official_telephone_number": "626-440-6191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLM334936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRC Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.