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MINIMALLY INVASIVE THERAPIES A PROFESSIONAL CORPORATION NPI 1700332285


NPI Information

NPI: 1700332285
Provider Name: MINIMALLY INVASIVE THERAPIES A PROFESSIONAL CORPORATION
Classification: Urology - 208800000X
Entity Type: Organization
Address:
18400 US HIGHWAY 18
SUITE A
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-3939
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MINIMALLY INVASIVE THERAPIES A PROFESSIONAL CORPORATION is an urology in Apple Valley, 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. MINIMALLY INVASIVE THERAPIES A PROFESSIONAL CORPORATION NPI is 1700332285. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18400 US HIGHWAY 18
SUITE A
APPLE VALLEY, CA
ZIP 92307-306
Phone: (760) 242-3939
Fax: (760) 810-7593

The provider's authorized official is Samuel Shin Kwon Lee .
The authorized official title is Ceo and has the following contact phone number (660) 349-0020.

The enumeration date for this NPI number is 8/25/2016 and was last updated on 8/25/2016.


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
1208800000XUrologyA49819CALIFORNIAYes

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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