WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC. NPI 1891836482

NPI Information

WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC. is a specialist in San Pablo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC. NPI is 1891836482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2089 VALE RD
SUITE 25
SAN PABLO, CA
ZIP 94806-847
Phone: (510) 235-1137
Fax: (510) 232-5929

The provider's authorized official is Mark Silvert .
The authorized official title is President and has the following contact phone number (510) 235-1137.

The CLIA number assigned to this NPI record is 05D0603883 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 5/17/2023.

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:

Other Identifiers

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