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HILLCREST UROLOGICAL MEDICAL GRP. NPI 1568575447


NPI Information

NPI: 1568575447
Provider Name: HILLCREST UROLOGICAL MEDICAL GRP.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D2142562

Address:
4060 4TH AVE
SUITE 310
SAN DIEGO, CA
ZIP 92103
Phone: (619) 297-4707
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HILLCREST UROLOGICAL MEDICAL GRP. is an urology in San Diego, 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. HILLCREST UROLOGICAL MEDICAL GRP. NPI is 1568575447. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4060 4TH AVE
SUITE 310
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 297-4707
Fax: (619) 297-2448

The provider's authorized official is Monica Vanderwerf .
The authorized official title is Contracts Specialist and has the following contact phone number (858) 888-7700.

The CLIA number assigned to this NPI record is 05D2142562 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2006 and was last updated on 4/1/2013.


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
1208800000XUrologyA44719CALIFORNIAYes

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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