Organization Active NPI

La Ivf Lab, LLC

  • Clinical Medical Laboratory
  • Beverly Hills, CA
National Provider Identifier
1306082060
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF11205 Issued in CA
Legal business name
LA IVF LAB, LLC
Practice address
9730 Wilshire Blvd
211B
Beverly Hills, CA 90212-2022
Phone
(310) 888-8874
Fax
(310) 285-0334
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Michael Kamrava, M.D.
Title
Director
Phone
(310) 888-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF11205 CA Primary

Addresses

Primary practice location

9730 Wilshire Blvd
211B
Beverly Hills, CA 90212-2022

Mailing address

9730 Wilshire Blvd
211B
Beverly Hills, CA 90212-2022
Phone (310) 888-8874

National Provider Directory

National Provider Directory
Tax ID family
La Ivf Lab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9730 Wilshire Blvd
#211B
Beverly Hills, CA 90212
Phone (310) 888-8874

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1306082060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD",
            "address_2": "211B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122022",
            "telephone_number": "310-888-8874",
            "fax_number": "310-284-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD",
            "address_2": "211B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122022",
            "telephone_number": "310-888-8874",
            "fax_number": "310-285-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA IVF LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "KAMRAVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-888-8874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.