Glen-White Urological Medical Group Inc

LBN: Glen-White Urological Medical Group Inc
Glen-White Urological Medical Group Inc is an health care organization with primary practice located at 1560 E Chevy Chase Dr #325, Glendale CA 91206-4140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Glen-White Urological Medical Group Inc can be contacted via phone (818) 242-1144, or through Lee, Sze-Ching via phone (818) 242-1144.

Contact Information

Primary practice address
1560 E Chevy Chase Dr #325 Glendale CA 91206-4140
Phone: (818) 242-1144
Fax: (818) 242-6948
Website:
Map and Directions
Authorized official contact:
Name: Lee, Sze-Ching Doctor of Medicine (MD)
Phone: (818) 242-1144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1659556835
LBN Legal business name Glen-White Urological Medical Group Inc
DBA Doing business as
Authorized official Lee, Sze-Ching Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2008
Last updated Oct 4th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659556835 NPPES
California MEDICAID GR0065131

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