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INLAND UROLOGY MEDICAL GROUP INC NPI 1609809631


NPI Information

NPI: 1609809631
Provider Name: INLAND UROLOGY MEDICAL GROUP INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0683504

Address:
210 W BONITA AVE
100
POMONA, CA
ZIP 91767
Phone: (909) 623-3428
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INLAND UROLOGY MEDICAL GROUP INC is an urology in Pomona, 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. INLAND UROLOGY MEDICAL GROUP INC NPI is 1609809631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 W BONITA AVE
100
POMONA, CA
ZIP 91767-865
Phone: (909) 623-3428
Fax: (909) 622-1923

The provider's authorized official is Aaron L Nguyen .
The authorized official title is President and has the following contact phone number (909) 623-3428.

The CLIA number assigned to this NPI record is 05D0683504 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/13/2014.


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
1208800000XUrologyG81615CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WA62380AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPINEDA
200G816150MEDICAIDCALIFORNIA
3WG81615AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIANGUYEN
4H19168MEDICARE UPINCALIFORNIA
500A623800MEDICAIDCALIFORNIA
6H37885MEDICARE UPINCALIFORNIA

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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