ATLANTIC UROLOGY MEDICAL GROUP INC NPI 1467649764

NPI Information

ATLANTIC UROLOGY MEDICAL GROUP INC is a specialist in Long Beach, 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. ATLANTIC UROLOGY MEDICAL GROUP INC NPI is 1467649764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 E 28TH ST
SUITE 319
LONG BEACH, CA
ZIP 90806-759
Phone: (562) 595-5977
Fax: (562) 490-0509

The provider's authorized official is Wendy Solis .
The authorized official title is Office Manager and has the following contact phone number (562) 595-5977.

The CLIA number assigned to this NPI record is 05D0554349 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/1/2007 and was last updated on 8/27/2019.

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:

Other Identifiers

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