NPIMap

Organization Active NPI

Huntington Reproductive Center Medical Group, a Medical Corporation

Doing business as HRC Fertility

  • Clinical Medical Laboratory
  • Laguna Hills, CA
National Provider Identifier
1407122260
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF11298 Issued in CA
Legal business name
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Doing business as
HRC Fertility
Practice address
23961 Calle de la Magdalena
Suite 503
Laguna Hills, CA 92653-3616
Phone
(949) 472-9446
NPI assigned
Mar 27, 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 CLF11298 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena
Suite 503
Laguna Hills, CA 92653-3616

Mailing address

23961 Calle de la Magdalena
Suite 503
Laguna Hills, CA 92653-3616
Phone (949) 472-9446

Other names 1

  • HRC Fertility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huntington Reproductive Center11 organizations share this tax ID, including this one
Part of
Huntington Reproductive Center

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1407122260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 503",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-472-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 503",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-472-9446"
        }
    ],
    "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": "2012-03-27",
        "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": "CLF11298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HRC Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, 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.

Verify at the official NPI Registry.