STAR UROLOGY INCORPORATED NPI 1801113824

NPI Information

  • NPI: 1801113824
  • Provider Name: STAR UROLOGY INCORPORATED
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1577 E CHEVY CHASE DR STE 100
    GLENDALE, CA
    ZIP 91206
  • Phone: (818) 246-3300

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NPI Details

STAR UROLOGY INCORPORATED 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. STAR UROLOGY INCORPORATED NPI is 1801113824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1577 E CHEVY CHASE DR STE 100
GLENDALE, CA
ZIP 91206-192
Phone: (818) 246-3300
Fax: (818) 246-3305

The provider's authorized official is Kamayar Ebrahimi .
The authorized official title is Ceo and has the following contact phone number (818) 246-3300.

The enumeration date for this NPI number is 4/29/2010 and was last updated on 6/8/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyA91899CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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