Ivf Laboratories of San Diego, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IVF LABORATORIES OF SAN DIEGO, LLC

Doing business as

Ovation Fertility

Practice address

15821 Ventura Blvd Ste 625
Encino, CA 91436-4780

Phone

(818) 858-1080

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Paul Kappelman

Title

Chief Executive Officer

Phone

(818) 858-1080

Specialties & licenses 1

Addresses

Other names 1

• Ovation Fertility Doing business as

Locations

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1487397832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD STE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD STE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364780",
            "telephone_number": "818-858-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVF LABORATORIES OF SAN DIEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "KAPPELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-858-1080"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.