EDEN CENTERS FOR ADVANCED FERTILITY
NPI 1124670674
Specialist in Newport Beach, CA

Active since July 15, 2019
20360 SW BIRCH ST STE 200, NEWPORT BEACH, CA 92660(949) 688-1002 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2019, Jul 15, 2019 (2 updates tracked since 2019).

  • Organization
  • Specialist

About EDEN CENTERS FOR ADVANCED FERTILITY

This page provides the complete NPI Profile along with additional information for Eden Centers For Advanced Fertility, a provider established in Newport Beach, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1124670674 assigned on July 2019. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Eden Centers For Advanced Fertility operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Eden Centers For Advanced Fertility. The authorized official of this NPI record is Michael Ruszczynski (Coo)

NPI
1124670674 Verify this NPI
Provider Legal Name
EDEN FERTILITY CENTER OF NEWPORT BEACH
Other Organization Name
EDEN CENTERS FOR ADVANCED FERTILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20360 SW BIRCH ST STE 200 NEWPORT BEACH, CA 92660
Location Phone
(949) 688-1002
Mailing Address
20360 SW BIRCH ST STE 200 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 688-1002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2019
Last Update Date
08-26-2019
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Location Map

Secondary Locations

  • 2720 N Harbor Blvd Ste 220
    Fullerton, CA 92835
    (714) 278-4705

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL RUSZCZYNSKI

Authorized Official Title
COO
Authorized Official Phone
(310) 927-4044

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124670674, enumerated as an "organization" on July 15, 2019.

The provider is located at 20360 SW BIRCH ST STE 200 NEWPORT BEACH, CA 92660 and the phone number is (949) 688-1002.

Specialist with taxonomy code 174400000X.