MEDICARE: ISIS UROLOGIC AND TRANSPLANT INSTITUTE, INC.

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
1	174400000X	Specialist	G83950	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G83950	OTHER	CA	M.D.
2	GR0103210	OTHER	CA	MEDICAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1841221587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISIS UROLOGIC AND TRANSPLANT INSTITUTE, INC.

Provider Business Mailing Address
First Line	:	2200 W 3RD ST
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1932
Country	:	US
Telephone Number	:	213-480-0368
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 W 3RD ST
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1932
Country	:	US
Telephone Number	:	213-480-8747
Fax Number	:	213-480-9303

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ROBERT M NARAGHI
Credential	:	MD
Telephone Number	:	213-480-8747

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/14/2008

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Directions to “ISIS UROLOGIC AND TRANSPLANT INSTITUTE, INC. ” Practice Location

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