In Vitrotech Labs, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

85787 Issued in CA

Legal business name

IN VITROTECH LABS, INC

Practice address

9301 Wilshire Blvd Ste 313
Beverly Hills, CA 90210-6131

Phone

(310) 550-1951

Fax

(310) 550-1971

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Eliran Mor, MD

Title

Chairman

Phone

(818) 907-1571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1598093502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 313",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106131",
            "telephone_number": "310-550-1951",
            "fax_number": "310-550-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 313",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106131",
            "telephone_number": "310-550-1951",
            "fax_number": "310-550-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN VITROTECH LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "MOR",
        "authorized_official_first_name": "ELIRAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "818-907-1571",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "85787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.