Individual provider · Type 1 NPI

Andrea Staack, MD

Urology Physician · Los Angeles, CA

NPI number 1578705208 Active

Practice location

200 Medical Plz, Suite #140
Los Angeles, CA 90095-0001

Call (310) 794-7700 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XF5519 (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 1578705208

Andrea Staack, MD's National Provider Identifier is 1578705208, issued on Mar 26, 2009. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Los Angeles, CA. The record was last updated on May 26, 2010.