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SANTA CLARITA UROLOGY ASSOC INC NPI 1881715902


NPI Information

NPI: 1881715902
Provider Name: SANTA CLARITA UROLOGY ASSOC INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0681698

Address:
23928 LYONS AVE
#202
NEWHALL, CA
ZIP 91321
Phone: (661) 254-2777
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SANTA CLARITA UROLOGY ASSOC INC is an urology in Newhall, 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. SANTA CLARITA UROLOGY ASSOC INC NPI is 1881715902. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23928 LYONS AVE
#202
NEWHALL, CA
ZIP 91321
Phone: (661) 254-2777
Fax: (661) 253-2837

The provider's authorized official is Mark B Sender .
The authorized official title is Pres and has the following contact phone number (661) 254-2777.

The CLIA number assigned to this NPI record is 05D0681698 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/3/2007 and was last updated on 10/14/2010.


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
1208800000XUrologyG048510CALIFORNIANo
2208800000XUrologyG036408CALIFORNIAYes

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
1A91777MEDICARE UPIN
2G36408ACAMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3A51084MEDICARE UPIN

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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