Center for Fetal Medicine and Women's Ultrasound

6310 San Vicente Blvd. | Suite 520 | Los Angeles, CA 90047 Tel: 323-857-1982 | Fax: 323-857-5336

Billing Form (Genetic Counseling)


Billing Information Section 1


Section 2 Copy of insurance card (fornt and back) required, attach copy of authorization if available.


Insurance company details

 

Our Locations

6310 S San Vicente Blvd,
Suite 520
Los Angeles, CA 90048

Call Us: 323-857-1952
Fax Us: 323-857-5336
Send records to: office@cffmla.com
Hours: Monday – Friday (8:00am – 4:00pm)

2001 Santa Monica Blvd,
Suite 870W
Santa Monica, CA 90404

Call Us: 323-857-1952
Fax Us: 323-857-5336
Send records to: office@cffmla.com
Hours: Monday – Friday (8:00am – 4:00pm)

6310 S San Vicente Blvd, Suite 520 Los Angeles, CA 90048 | 323.857.1952