Active NPI
Huntington Reproductive Center Medical Group. a Medical Corporation
- Clinical Medical Laboratory
- Oceanside, CA
National Provider Identifier
1376818385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP. A MEDICAL CORPORATION
- Practice address
- 3231 Waring CT
Suite M
Oceanside, CA 92056-4510 - Phone
- (760) 758-2034
- NPI assigned
- Mar 9, 2012
- Organization subpart
- Yes
- Parent organization
- HUNTINGTON REPRODUCTIVE MEDICAL GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3231 Waring CT
Suite M
Oceanside, CA 92056-4510
Mailing address
3231 Waring CT
Suite M
Oceanside, CA 92056-4510
Phone (760) 758-2034
Other names 1
- HRC Fertility
National Provider Directory
National Provider Directory- Tax ID family
- Huntington Reproductive Center Medical Group a Medical Corporation
- Part of
- Huntington Reproductive Center Medical Group a Medical Corporation
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503532800000",
"number": "1376818385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 WARING CT",
"address_2": "SUITE M",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-758-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 WARING CT",
"address_2": "SUITE M",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564510",
"telephone_number": "760-758-2034"
}
],
"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": "2012-03-09",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HRC Fertility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oceanside, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.