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ADVANCED OB/GYN MEDICAL GROUP
NPI 1154432607
Specialist in Aliso Viejo, CA

Active since August 31, 2006
24502 PACIFIC PARK DR, SUITE 105, ALISO VIEJO, CA 92656(949) 362-1515(949) 362-7548 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Ob/gyn Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED OB/GYN MEDICAL GROUP (NPI 1154432607) is a healthcare organization registered as a specialist in Aliso Viejo, California and active in the NPI registry since August 2006. The organization lists Kamran Ghodsian, President, as its authorized official.

NPPES Registry Identity

NPI1154432607
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED OB/GYN & INFERTILITY MEDICAL GROUP INC
Location Address24502 PACIFIC PARK DR, SUITE 105Aliso Viejo, CA 92656-3033
Mailing Address24502 Pacific Park Dr, Suite 105Aliso Viejo, CA 92656-3033 · (949) 362-1515 · Fax (949) 362-7548
Phone(949) 362-1515
Fax(949) 362-7548
Organization SubpartNo
Authorized OfficialKamran GhodsianPresident · (949) 362-1515
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 22, 2011
✔ NPI 1154432607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
24502 PACIFIC PARK DR, Aliso Viejo, CA 92656
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Other Names 1

Doing Business AsAdvanced Ob/gyn Medical Group

Other Identifiers 4

MedicaidGR0050351CA
Medicare ID-Type UnspecifiedW11666ACA · Medicare Provider Number
OtherZZZ29048ZCA · Blue Shield Provider #
MedicaidGR0050350CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID CHRISTIAN PEIRCE PHD
Psychologist (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 425-3000
MS. CYNTHIA ELAINE ROE LCSW
Social Worker (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (714) 223-2604
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (866) 352-9101
CHAD MICHAEL ABBOTT MD
Family Medicine
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 425-3221
DR. JESSE KENDALL JOHNSON DDS
Dentist
24502 PACIFIC PARK DR, 106
ALISO VIEJO, CA 92656
Orange County (949) 831-1946
LAUREN MARY MCNALLY M.A.
Marriage & Family Therapist
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (714) 644-6088
ELIZABETH VIRGINIA DEMPSEY LCSW
Social Worker (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (714) 644-6088
DR. RONALD STEVEN MANDEL D.O.
Family Medicine
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Orange County (949) 362-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Ob/Gyn & Infertility Medical Group Inc's NPI number?

The NPI number for Advanced Ob/Gyn & Infertility Medical Group Inc is 1154432607. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Advanced Ob/Gyn Medical Group.

Where is Advanced Ob/Gyn & Infertility Medical Group Inc located?

Advanced Ob/Gyn & Infertility Medical Group Inc is located at 24502 Pacific Park Dr Suite 105, Aliso Viejo, CA 92656. The listed phone number is (949) 362-1515.

What is Advanced Ob/Gyn & Infertility Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Ob/Gyn & Infertility Medical Group Inc was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.