Organization · Type 2 NPI

Greater Long Beach Genito-Urinary Med GRP

Urology Physician · Lakewood, CA

NPI number 1417976705 Active

Practice location

3650 South Street, Suite 408
Lakewood, CA 90712-1510

Fax (562) 630-0660

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XG22223 (CA)

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 1417976705

Greater Long Beach Genito-Urinary Med GRP's National Provider Identifier is 1417976705, issued on Jul 18, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Lakewood, CA. The record was last updated on Jan 15, 2010.