Organization · NPI-2
Collab Fertility Medical, INC.
Obstetrics & Gynecology, Reproductive Endocrinology · Walnut Creek, CA
NPI number1932970449
StatusActive
Last updated in NPPESJan 12, 2024
Details
- NPI
- 1932970449
- Entity type
- Organization (NPI-2)
- Legal business name
- Collab Fertility Medical, INC.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2024
- Certification date
- Jan 12, 2024
- Last updated
- Jan 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | – | – | Yes |
Practice location
2700 Ygnacio Valley Rd Ste 170Walnut Creek, CA 94598-3460
Phone 925-270-2992 · Fax 925-588-7980
Mailing address
2700 Ygnacio Valley Rd Ste 170Walnut Creek, CA 94598-3460
Phone 925-270-2992 · Fax 925-588-7980
Authorized official
Thalia Ruth Segal
Owner
9252702992
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