Center for Fetal Medicine and Womens 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

 

Center for Fetal Medicine

Our Location

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

Call Us: 323-857-1952
Fax Us: 323-857-5336
Records sent to [email protected]
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
Records sent to [email protected]
Monday-Friday: 8:00am – 4:00pm

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