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NPI Code Detail

MEDICARE: ASSOCIATES IN UROLOGY A MEDICAL CORPORATION

MEDICARE: ASSOCIATES IN UROLOGY A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

General Provider Information

NPI Number : 1841202074
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES IN UROLOGY A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 3791 KATELLA AVE STE 200
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-2016
Country : US
Telephone Number : 562-598-6166
Fax Number : 562-799-8210
Provider Business Practice Location Address
First Line : 3791 KATELLA AVE STE 200
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-2016
Country : US
Telephone Number : 562-598-6166
Fax Number : 562-799-8210
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : MRS. CHERI BAGHDASSARIAN
Credential :
Telephone Number : 562-598-6166
Provider Enumeration Date : 08/13/2006
Last Update Date : 04/08/2010

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Directions to “ASSOCIATES IN UROLOGY A MEDICAL CORPORATION ” Practice Location

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