institution
Greater Long Beach Genito-urinary Med Grp
Urology Physician in Lakewood, California
NPI 1417976705

Greater Long Beach Genito-urinary Med Grp is a Urology Physician based in Lakewood, CA. Greater Long Beach Genito-urinary Med Grp practices in Lakewood, CA. The NPI Number for Greater Long Beach Genito-urinary Med Grp is 1417976705 and holds a License No. G22223 (California).

The current practice location address for Greater Long Beach Genito-urinary Med Grp is 3650 South Street, Lakewood, CA and can be reached out via phone at 562-630-0423 and via fax at 562-630-0660.

Location: 3650 South Street, Lakewood, CA, 90712-1510
institution
Provider Profile Details
NPI Number
1417976705
Provider Name
Greater Long Beach Genito-urinary Med Grp
Credential
Provider Entity Type
Organization
Address
3650 South Street, Lakewood, CA, 90712-1510
Phone Number
562-630-0423
Fax Number
562-630-0660
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WG22223B 01 CA MEDICARE INDIVIDUAL PROVI
WG54806D 01 CA MEDICARE INDIVIDUAL PROVI
1497724900 01 CA PHYSICIAN INDIVIDUAL PIN
1326017831 01 CA PHYSICIAN INDIVIDUAL UPIN
WA76527B 01 CA MEDICARE INDIVIDUAL PROVI
WG54806C 01 CA MEDICARE INDIVIDUAL PROVI
G22223 01 CA STATE LICENSE
G54806 01 CA STATE LICENSE
1801865381 01 CA PHYSICIAN INDIVIDUAL PIN
A76527 01 CA STATE LICENSE
GR0049180 05 CA
WA76527A 01 CA MEDICARE INDIVIDUAL PROVI
WG22223A 01 CA MEDICARE INDIVIDUAL PROVI
institution
Provider Business Practice Location Address Details
Address
3650 South Street
City
State
Zip
90712-1510
Phone Number
562-630-0423
Fax Number
562-630-0660
person
Provider Business Mailing Address Details
Address
3650 South Street
City
State
Zip
90712-1510
Phone Number
562-630-0423
Fax Number
562-630-0660
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
G22223 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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