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SIERRA SPECIALTY CALL GROUP MEDICAL CORPORATION NPI 1215225982


NPI Information

NPI: 1215225982
Provider Name: SIERRA SPECIALTY CALL GROUP MEDICAL CORPORATION
Classification: Urology - 208800000X
Entity Type: Organization
Address:
680 GUZZI LN
SUITE 203
SONORA, CA
ZIP 95370
Phone: (209) 532-5244
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SIERRA SPECIALTY CALL GROUP MEDICAL CORPORATION is an urology in Sonora, 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. SIERRA SPECIALTY CALL GROUP MEDICAL CORPORATION NPI is 1215225982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

680 GUZZI LN
SUITE 203
SONORA, CA
ZIP 95370-288
Phone: (209) 532-5244
Fax: (209) 532-5247

The provider's authorized official is Eric R Freedman .
The authorized official title is President and has the following contact phone number (209) 532-5244.

The enumeration date for this NPI number is 7/15/2011 and was last updated on 6/14/2012.


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
1207X00000XOrthopaedic Surgery20A10879CALIFORNIANo
2207X00000XOrthopaedic SurgeryA88661CALIFORNIANo
3207X00000XOrthopaedic SurgeryC37479CALIFORNIANo
4207X00000XOrthopaedic SurgeryA45369CALIFORNIANo
5208600000XSurgeryA53424CALIFORNIANo
6208600000XSurgeryA50509CALIFORNIANo
7208800000XUrologyA45369CALIFORNIANo
8363A00000XPhysician Assistant12677CALIFORNIANo
9208800000XUrologyYes

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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