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Atlantic Urology Medical Group Inc
Specialist in Long Beach, California
NPI 1467649764

Atlantic Urology Medical Group Inc is a Specialist based in Long Beach, CA. Atlantic Urology Medical Group Inc practices in Long Beach, CA. The NPI Number for Atlantic Urology Medical Group Inc is 1467649764 and holds a License No. A32052 (California).

The current practice location address for Atlantic Urology Medical Group Inc is 701 E 28Th St, Long Beach, CA and can be reached out via phone at 562-595-5977 and via fax at 562-490-0509.

Location: 701 E 28Th St, Long Beach, CA, 90806-2759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467649764
Provider Name
Atlantic Urology Medical Group Inc
Credential
Provider Entity Type
Organization
Address
701 E 28Th St, Long Beach, CA, 90806-2759
Phone Number
562-595-5977
Fax Number
562-490-0509
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2405716 05 CA
W9927 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
701 E 28Th St
City
Long Beach
State
California
Zip
90806-2759
Phone Number
562-595-5977
Fax Number
562-490-0509
person
Provider Business Mailing Address Details
Address
701 E 28Th St
City
Long Beach
State
California
Zip
90806-2759
Phone Number
562-595-5977
Fax Number
562-490-0509
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A32052 (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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