Antelope Valley Urology Medical Group Inc
LBN: Antelope Valley Urology Medical Group Inc
Antelope Valley Urology Medical Group Inc is an health care organization with primary practice located at 44105 15Th St W Suite 302, Lancaster CA 93534-4088. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Antelope Valley Urology Medical Group Inc can be contacted via phone (661) 949-3006, or through Hadaya, Tawfik Tim via phone (661) 949-3006.
Contact Information
Primary practice address
44105 15Th St W Suite 302
Lancaster CA 93534-4088
Phone: (661) 949-3006
Fax: (661) 949-8770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A39485 | California |
| Other Service Providers / Specialist | 174400000X | C39635 | California |
Profile Details
| NPI number | 1396888152 |
|---|---|
| LBN Legal business name | Antelope Valley Urology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Hadaya, Tawfik Tim Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396888152 | NPPES |
| California | MEDICAID | GR0076830 | |
| California | Other | ZZZ53170Z |
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