Valley Associated Urology Medicare Group Inc

LBN: Valley Associated Urology Medicare Group Inc
Valley Associated Urology Medicare Group Inc is an health care organization with primary practice located at 200 Cottage Ave Ste 101, Manteca CA 95336-4935. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Valley Associated Urology Medicare Group Inc can be contacted via phone (209) 239-2197, or through Boyajian, Gerald via phone (209) 521-0870.

Contact Information

Primary practice address
200 Cottage Ave Ste 101 Manteca CA 95336-4935
Phone: (209) 239-2197
Fax: (209) 239-7672
Website:
Map and Directions
Authorized official contact:
Name: Boyajian, Gerald
Phone: (209) 521-0870

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1225073588
LBN Legal business name Valley Associated Urology Medicare Group Inc
DBA Doing business as
Authorized official Boyajian, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 13th, 2007 - about 18 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 1225073588 NPPES
California MEDICAID GR0066264

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