Los Angeles Urology Medical Group Inc

LBN: Los Angeles Urology Medical Group Inc
Los Angeles Urology Medical Group Inc is an health care organization with primary practice located at 1701 E Cesar E Chavez Ave Suite 500, Los Angeles CA 90033-2464. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Los Angeles Urology Medical Group Inc can be contacted via phone (323) 261-0108, or through Martinez, Miguel via phone (323) 261-0108.

Contact Information

Primary practice address
1701 E Cesar E Chavez Ave Suite 500 Los Angeles CA 90033-2464
Fax: (323) 224-6206
Website:
Authorized official contact:
Name: Martinez, Miguel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G54840 California

Profile Details

NPI number 1538212170
LBN Legal business name Los Angeles Urology Medical Group Inc
DBA Doing business as
Authorized official Martinez, Miguel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Apr 26th, 2024 - about 7 months 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 1538212170 NPPES
California MEDICAID GR0063220

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