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UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC NPI 1194720722


NPI Information

NPI: 1194720722
Provider Name: UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0947293

Address:
7014 N WHITNEY AVE
FRESNO, CA
ZIP 93720
Phone: (559) 321-2800
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UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC is an urology in Fresno, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC NPI is 1194720722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7014 N WHITNEY AVE
FRESNO, CA
ZIP 93720-155
Phone: (559) 321-2800
Fax: (559) 321-2780

The provider's authorized official is Kuldip Jbs Behniwal .
The authorized official title is Authorized Official and has the following contact phone number (559) 321-2803.

The CLIA number assigned to this NPI record is 05D0947293 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 3/17/2018.


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
1208800000XUrologyFNP21026CALIFORNIAYes

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
1GR0081620MEDICAIDCALIFORNIA

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: 4/28/2024

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