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UROLOGY INSTITUTE OF THE SOUTH BAY NPI 1053329540


NPI Information

NPI: 1053329540
Provider Name: UROLOGY INSTITUTE OF THE SOUTH BAY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0551298

Address:
23600 TELO AVE # 220
TORRANCE, CA
ZIP 90505
Phone: (310) 534-8400
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UROLOGY INSTITUTE OF THE SOUTH BAY is a specialist in Torrance, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UROLOGY INSTITUTE OF THE SOUTH BAY NPI is 1053329540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23600 TELO AVE # 220
TORRANCE, CA
ZIP 90505-035
Phone: (310) 534-8400
Fax: (310) 534-0463

The provider's authorized official is Sharon Nakazawa .
The authorized official title is Manager and has the following contact phone number (310) 534-8400.

The CLIA number assigned to this NPI record is 05D0551298 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/3/2006 and was last updated on 1/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11165OTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.