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SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES NPI 1891893004


NPI Information

NPI: 1891893004
Provider Name: SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14124 FOOTHILL BLVD
SYLMAR, CA
ZIP 91342
Phone: (818) 367-1012
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SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES is a specialist in Sylmar, 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. SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES NPI is 1891893004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14124 FOOTHILL BLVD
SYLMAR, CA
ZIP 91342-049
Phone: (818) 367-1012

The provider's authorized official is Muni Nanjunda Reddy .
The authorized official title is Sr. Partner and has the following contact phone number (818) 367-1012.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/6/2011.


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
1174400000XSpecialistA379820CALIFORNIAYes

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
1A28500MEDICARE UPINCALIFORNIA
2W7935BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP NUMBER

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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