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SO BAY UROLOGY MED GRP NPI 1871517557


NPI Information

NPI: 1871517557
Provider Name: SO BAY UROLOGY MED GRP
Classification: Urology - 208800000X
Entity Type: Organization
Address:
20911 EARL ST STE 140
TORRANCE, CA
ZIP 90503
Phone: (310) 542-0199
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SO BAY UROLOGY MED GRP is an urology in Torrance, 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. SO BAY UROLOGY MED GRP NPI is 1871517557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20911 EARL ST STE 140
TORRANCE, CA
ZIP 90503-353
Phone: (310) 542-0199
Fax: (310) 542-4652

The provider's authorized official is Joy G Paul .
The authorized official title is President and has the following contact phone number (310) 542-0199.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/19/2009.


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
1208800000XUrologyCALIFORNIAYes

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
1W1070MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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