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ADVANCED CENTER FOR UROLOGY INC NPI 1821256090


NPI Information

NPI: 1821256090
Provider Name: ADVANCED CENTER FOR UROLOGY INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0577178

Address:
12555 GARDEN GROVE BLVD
STE. 405
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 534-0744
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ADVANCED CENTER FOR UROLOGY INC is an urology in Garden Grove, 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. ADVANCED CENTER FOR UROLOGY INC NPI is 1821256090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12555 GARDEN GROVE BLVD
STE. 405
GARDEN GROVE, CA
ZIP 92843-902
Phone: (714) 534-0744
Fax: (714) 534-0785

The provider's authorized official is Junghwan Choi .
The authorized official title is President and has the following contact phone number (714) 534-0744.

The CLIA number assigned to this NPI record is 05D0577178 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 11/21/2018.


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
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
1DO8061OTHERCALIFORNIAMEDICARE RAILROAD

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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