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BRAD A WOLFSON M D A MEDICAL CORPORATION NPI 1912232166


NPI Information

NPI: 1912232166
Provider Name: BRAD A WOLFSON M D A MEDICAL CORPORATION
Classification: Urology - 208800000X
Entity Type: Organization
Address:
555 E TACHEVAH DR STE 2
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 320-6005
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BRAD A WOLFSON M D A MEDICAL CORPORATION is an urology in Palm Springs, 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. BRAD A WOLFSON M D A MEDICAL CORPORATION NPI is 1912232166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 E TACHEVAH DR STE 2
PALM SPRINGS, CA
ZIP 92262-750
Phone: (760) 320-6005
Fax: (760) 323-5786

The provider's authorized official is Doris Olivia Eberhardt .
The authorized official title is Office Manager and has the following contact phone number (760) 320-6005.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 2/25/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyG61080CALIFORNIAYes

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
1G61080OTHERCALIFORNIACA MEDICAL LICENSE
200G610801MEDICAIDCALIFORNIA

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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