Provider Demographics
NPI:1285446773
Name:LIFE IVF CENTER LOS ANGELES
Entity type:Organization
Organization Name:LIFE IVF CENTER LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:YELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-788-1133
Mailing Address - Street 1:3500 BARRANCA PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8232
Mailing Address - Country:US
Mailing Address - Phone:949-788-1133
Mailing Address - Fax:
Practice Address - Street 1:289 W HUNTINGTON DR STE 400
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3495
Practice Address - Country:US
Practice Address - Phone:626-777-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty