Berkeley Urological Associates A Medical Group Inc. Fka Lyon
LBN: Berkeley Urological Associates A Medical Group Inc. Fka Lyon
Berkeley Urological Associates A Medical Group Inc. Fka Lyon is an health care organization with primary practice located at 2999 Regent St #612, Berkeley CA 94705-2146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty.
Berkeley Urological Associates A Medical Group Inc. Fka Lyon can be contacted via phone (510) 848-1733, or through Bettencourt, Tina M via phone (510) 848-1733.
Contact Information
Primary practice address
2999 Regent St #612
Berkeley CA 94705-2146
Phone: (510) 848-1733
Fax: (510) 848-8224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X |
Profile Details
| NPI number | 1992872410 |
|---|---|
| LBN Legal business name | Berkeley Urological Associates A Medical Group Inc. Fka Lyon |
| DBA Doing business as | |
| Authorized official | Bettencourt, Tina M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 12th, 2009 - about 15 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 | 1992872410 | NPPES |
| California | MEDICAID | YYY49005Y |
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