REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER
NPI 1912542994
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

NPI Status: Active since November 13, 2019

Contact Information

11500 W OLYMPIC BLVD, STE# 150
LOS ANGELES, CA
ZIP 90064
Phone: (424) 293-8841
Fax: (424) 293-8138

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2158115
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-23-2026

About REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Reproductive Medicine Associates Of Socal Ambulatory Surgery Center, a provider established in Los Angeles, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1912542994 assigned on November 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Thomas Kim Md (Medical Director)

NPI
1912542994
Provider Name
REPRODUCTIVE MEDICINE ASSOCIATES OF SOCAL AMBULATORY SURGERY CENTER
Entity Type
Organization
Location Address
11500 W OLYMPIC BLVD, STE# 150 LOS ANGELES, CA 90064
Location Phone
(424) 293-8841
Location Fax
(424) 293-8138
Mailing Address
11500 W OLYMPIC BLVD, STE# 150 LOS ANGELES, CA 90064
Mailing Phone
(424) 293-8841
Mailing Fax
(424) 293-8138
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2019
Last Update Date
11-13-2019
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

THOMAS KIM MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(424) 293-8841

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2158115
Facility Type
Physician Office
Certificate Effective Date
October 24, 2024
Certificate Expiration Date
October 23, 2026
Laboratory Director
DR. THOMAS J. KIM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Reproductive Medicine Associates Of Socal Ambulatory Surgery Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912542994
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221044918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 4 + 4 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1912542994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912542994, enumerated in the NPI registry as an "organization" on November 13, 2019

The provider is located at 11500 W Olympic Blvd, Ste# 150 Los Angeles, Ca 90064 and the phone number is (424) 293-8841

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 05D2158115 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on November 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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