Eden Fertility Management, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDEN FERTILITY MANAGEMENT, LLC

Practice address

2720 N Harbor Blvd Ste 220
Fullerton, CA 92835-2626

Phone

(626) 318-0189

NPI assigned

Jul 15, 2019

Organization subpart

Yes

Parent organization

EDEN FERTILITY MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Crystal Alderete

Title

Revenue Cycle Manager

Phone

(626) 318-0189

Specialties & licenses 1

Addresses

Other names 1

• Eden Centers for Advanced Fertility Doing business as

Part of

Eden Fertility Management LLC

Locations

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1699327049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 220",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352626",
            "telephone_number": "714-278-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 220",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352626",
            "telephone_number": "626-318-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN FERTILITY MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDEN FERTILITY MANAGEMENT, LLC",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "ALDERETE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "626-318-0189"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Centers for Advanced Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.