| Organization Name: | ESOTERIX GENETIC COUNSELING |
| NPI Number: | 1134306541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY WILLIAMS (VICE PRESIDENT) |
| Mailing Address: | 655 East Huntington Dr Monrovia |
| State: | CA US |
| Postal Code: | 910163636 |
| Phone Number: | 6264717443 |
| Fax Number: | 3104825204 |
| NPI Enumeration Date: | 01/28/2008 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QG0250X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Genetics |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |