Basic Information
| Provider Information | |||||||||
| NPI: | 1598998262 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REPRODUCTIVE HEALTH CENTERS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 435 ARDEN AVE STE 340 | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 912034017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182467245 | ||||||||
| FaxNumber: | 8182467265 | ||||||||
| Practice Location | |||||||||
| Address1: | 13768 ROSWELL AVE | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | CHINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917101401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182467245 | ||||||||
| FaxNumber: | 8182467265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2009 | ||||||||
| LastUpdateDate: | 06/11/2012 | ||||||||
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| AuthorizedOfficialLastName: | DINSAY | ||||||||
| AuthorizedOfficialFirstName: | ROSELYN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8182467245 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VE0102X | G85448 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | C3199743 | 01 | CA | DEPT OF CORPORATIONS NUMBER | OTHER |