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ESCONDIDO UROLOGY MEDICAL GROUP INC NPI 1790747814


NPI Information

NPI: 1790747814
Provider Name: ESCONDIDO UROLOGY MEDICAL GROUP INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
303 S JUNIPER ST
ESCONDIDO, CA
ZIP 92025
Phone: (760) 745-7079
Get Directions

ESCONDIDO UROLOGY MEDICAL GROUP INC is an urology in Escondido, 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. ESCONDIDO UROLOGY MEDICAL GROUP INC NPI is 1790747814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 S JUNIPER ST
ESCONDIDO, CA
ZIP 92025-924
Phone: (760) 745-7079
Fax: (760) 745-6199

The provider's authorized official is George N Riffle .
The authorized official title is President and has the following contact phone number (760) 745-7079.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 10/16/2007.


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
1208800000XUrologyYes

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
1GR0047580MEDICAIDCALIFORNIA
2C27969MEDICARE ID-TYPE UNSPECIFIED

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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