Citrus Valley Urologic Medical Group, Inc.
LBN: Citrus Valley Urologic Medical Group, Inc.
Citrus Valley Urologic Medical Group, Inc. is an health care organization with primary practice located at 412 West Carroll Avenue Suite 200, Glendora CA 91741-4264. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty.
Citrus Valley Urologic Medical Group, Inc. can be contacted via phone (626) 914-3921, or through Davis, Josephine Marie via phone (626) 914-3921.
Contact Information
Primary practice address
412 West Carroll Avenue Suite 200
Glendora CA 91741-4264
Phone: (626) 914-3921
Fax: (626) 914-9611
Website:
Authorized official contact:
Name: Davis, Josephine Marie Registered Nurse (RN)
Phone: (626) 914-3921
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | California |
Profile Details
| NPI number | 1366491888 |
|---|---|
| LBN Legal business name | Citrus Valley Urologic Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Davis, Josephine Marie Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 27th, 2013 - about 11 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 | 1366491888 | NPPES |
| California | MEDICAID | ZZZ726372 |
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