Individual provider · Type 1 NPI

Wayne Grover Brisbane, MD

Urology Physician · Los Angeles, CA

NPI number 1346583176 Active

Practice location

200 Ucla Medical Plz Ste 140
Los Angeles, CA 90095-6410

Call (310) 794-7152 Map

Fax (310) 794-1666

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000XME150237 (FL)
Urology Physician Primary 208800000XA161053 (CA)
Urology Physician 208800000XML.60370878 (WA)

Urology Physician: 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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About NPI 1346583176

Wayne Grover Brisbane, MD's National Provider Identifier is 1346583176, issued on Mar 29, 2013. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 14, 2023.