LOS ALAMOS PHYSICIAN PRACTICES LLC NPI 1902050040

NPI Information

  • NPI: 1902050040
  • Provider Name: LOS ALAMOS PHYSICIAN PRACTICES LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: LOS ALAMOS SURGICAL ASSOC- UROLOGY
  • Address: 3917 WEST RD
    SUITE 137
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (575) 661-8500

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NPI Details

LOS ALAMOS PHYSICIAN PRACTICES LLC is an urology in Los Alamos, NM. 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. LOS ALAMOS PHYSICIAN PRACTICES LLC NPI is 1902050040. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Los Alamos Surgical Assoc- Urology.

The provider's business location address is:

3917 WEST RD
SUITE 137
LOS ALAMOS, NM
ZIP 87544-275
Phone: (575) 661-8500

The provider's authorized official is Angie Mangum .
The authorized official title is Director and has the following contact phone number (575) 521-5277.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.

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
1208800000XUrologyMD2008-0654NEW MEXICOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900521294MEDICARE PINNEW MEXICO

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: 11/21/2025

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