Healthcare Provider Details

I. General information

NPI: 1134050180
Provider Name (Legal Business Name): UROVIU CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 EL CAMINO REAL STE 214
LOS ALTOS CA
94022-1069
US

IV. Provider business mailing address

4546 EL CAMINO REAL STE 214
LOS ALTOS CA
94022-1069
US

V. Phone/Fax

Practice location:
  • Phone: 650-451-7746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: XIAOLONG BRUCE OUYANG
Title or Position: CEO
Credential:
Phone: 650-451-7746