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Antelope Valley Urology Medical Group Inc
Specialist in Lancaster, California
NPI 1396888152

Antelope Valley Urology Medical Group Inc is a Specialist based in Lancaster, CA. Antelope Valley Urology Medical Group Inc practices in Lancaster, CA. The NPI Number for Antelope Valley Urology Medical Group Inc is 1396888152 and holds a License No. A39485 (California).

The current practice location address for Antelope Valley Urology Medical Group Inc is 44105 15Th St W, Lancaster, CA and can be reached out via phone at 661-949-3006 and via fax at 661-949-8770.

Location: 44105 15Th St W, Lancaster, CA, 93534-4088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396888152
Provider Name
Antelope Valley Urology Medical Group Inc
Credential
Provider Entity Type
Organization
Address
44105 15Th St W, Lancaster, CA, 93534-4088
Phone Number
661-949-3006
Fax Number
661-949-8770
Provider Enumeration Date
02/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0076830 05 CA
ZZZ53170Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
44105 15Th St W
City
Lancaster
State
California
Zip
93534-4088
Phone Number
661-949-3006
Fax Number
661-949-8770
person
Provider Business Mailing Address Details
Address
44105 15Th St W
City
Lancaster
State
California
Zip
93534-4088
Phone Number
661-949-3006
Fax Number
661-949-8770
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A39485 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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