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MISSION UROLOGY INC. NPI 1063874337


NPI Information

NPI: 1063874337
Provider Name: MISSION UROLOGY, INC.

Doing Business As: MISSION UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D2133704

Address:
4500 BROCKTON AVE
SUITE 301
RIVERSIDE, CA
ZIP 92501
Phone: (951) 276-4505
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MISSION UROLOGY, INC. is an urology in Riverside, 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. MISSION UROLOGY, INC. NPI is 1063874337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mission Urology.

The provider's business location address is:

4500 BROCKTON AVE
SUITE 301
RIVERSIDE, CA
ZIP 92501-027
Phone: (951) 276-4505
Fax: (951) 276-4517

The provider's authorized official is Jo-ann Mendoza .
The authorized official title is President and has the following contact phone number (951) 276-4505.

The CLIA number assigned to this NPI record is 05D2133704 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/24/2016 and was last updated on 6/24/2019.


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
1207R00000XInternal MedicineNo
2208800000XUrologyYes

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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