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GLEN-WHITE UROLOGICAL MEDICAL GROUP INC NPI 1659556835


NPI Information

NPI: 1659556835
Provider Name: GLEN-WHITE UROLOGICAL MEDICAL GROUP INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1560 E CHEVY CHASE DR
#325
GLENDALE, CA
ZIP 91206
Phone: (818) 242-1144
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GLEN-WHITE UROLOGICAL MEDICAL GROUP INC is an urology in Glendale, 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. GLEN-WHITE UROLOGICAL MEDICAL GROUP INC NPI is 1659556835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1560 E CHEVY CHASE DR
#325
GLENDALE, CA
ZIP 91206-140
Phone: (818) 242-1144
Fax: (818) 242-6948

The provider's authorized official is Sze-ching Lee .
The authorized official title is President and has the following contact phone number (818) 242-1144.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 10/4/2017.


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

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
1W1259MEDICARE PIN
2GR0065131MEDICAIDCALIFORNIA

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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