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Corvalan Urology Medical Center
Specialist in Pasadena, California
NPI 1811018948

Corvalan Urology Medical Center is a Specialist based in Pasadena, CA. Corvalan Urology Medical Center practices in Pasadena, CA. The NPI Number for Corvalan Urology Medical Center is 1811018948 and holds a License No. A25561 (California).

The current practice location address for Corvalan Urology Medical Center is 800 Fairmount Ave Ste 420, Pasadena, CA and can be reached out via phone at 818-500-0417 and via fax at 626-440-9178.

Location: 800 Fairmount Ave Ste 420, Pasadena, CA, 91105-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811018948
Provider Name
Corvalan Urology Medical Center
Credential
Provider Entity Type
Organization
Address
800 Fairmount Ave Ste 420, Pasadena, CA, 91105-3154
Phone Number
818-500-0417
Fax Number
626-440-9178
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ66096Z 01 CA BLUE SHIELD
00A255610 05 CA
institution
Provider Business Practice Location Address Details
Address
800 Fairmount Ave Ste 420
City
Pasadena
State
California
Zip
91105-3154
Phone Number
818-500-0417
Fax Number
626-440-9178
person
Provider Business Mailing Address Details
Address
800 Fairmount Ave Ste 420
City
Pasadena
State
California
Zip
91105-3154
Phone Number
818-500-0417
Fax Number
626-440-9178
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A25561 (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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