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UROLOGIC MEDICAL CLINIC OF LOS GATOS NPI 1578809075


NPI Information

NPI: 1578809075
Provider Name: UROLOGIC MEDICAL CLINIC OF LOS GATOS
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D1027096

Address:
320 DARDANELLI LN
23B
LOS GATOS, CA
ZIP 95032
Phone: (408) 866-2500
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UROLOGIC MEDICAL CLINIC OF LOS GATOS is an urology in Los Gatos, 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. UROLOGIC MEDICAL CLINIC OF LOS GATOS NPI is 1578809075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 DARDANELLI LN
23B
LOS GATOS, CA
ZIP 95032-440
Phone: (408) 866-2500
Fax: (408) 866-2469

The provider's authorized official is Domenico J Manzone .
The authorized official title is President and has the following contact phone number (408) 866-2500.

The CLIA number assigned to this NPI record is 05D1027096 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/2/2013 and was last updated on 1/18/2013.


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
1208800000XUrologyYes

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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