Southern California Center for Sexual Health and Survivorship Med

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A54134 Issued in CA

Legal business name

SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED

Practice address

355 Placentia Ave
Suite 202
Newport Beach, CA 92663-3311

Phone

(949) 764-9300

Fax

(949) 764-9399

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Michael Krychman, MD

Title

President

Phone

(917) 902-5851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1821294794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2718",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926591318",
            "telephone_number": "949-764-9300",
            "fax_number": "949-764-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "SUITE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-764-9300",
            "fax_number": "949-764-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CENTER FOR SEXUAL HEALTH AND SURVIVORSHIP MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KRYCHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-902-5851",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A54134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Behavioral Health
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• South Coast Endocrinology Medical Corporation
• South Coast True Health Integrative Medicine
• South County Sleep Solutions Corporation
• Southern California Id Associates, Inc.
• Southern California Institute for Reproductive Sciences
• Southern California Kidney Associates Inc.
• Southern California Spine and Sport Medical Associates, Inc
• Camila Souza

• Gynecology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.