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NPI Code Detail

MEDICARE: PHILIP YALOWITZ, MD, PROFESSIONAL CORPORATION

MEDICARE: PHILIP YALOWITZ, MD, PROFESSIONAL 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 PhysicianC29916CA

General Provider Information

NPI Number : 1588796080
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILIP YALOWITZ, MD, PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 8635 W 3RD ST STE 460
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-6111
Country : US
Telephone Number : 310-652-8060
Fax Number : 310-652-0334
Provider Business Practice Location Address
First Line : 8635 W 3RD ST STE 460
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-6111
Country : US
Telephone Number : 310-652-8060
Fax Number : 310-652-0334
Authorized Official
Title or Position : PRESIDENT
Name : DR. PHILIP A YALOWITZ
Credential : M.D.
Telephone Number : 310-652-8060
Provider Enumeration Date : 03/10/2007
Last Update Date : 08/22/2020

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