Antelope Valley Urology Medical Group Inc in Lancaster - Specialist
Antelope Valley Urology Medical Group Inc - NPI 1396888152
Antelope Valley Urology Medical Group Inc is a Specialist in Lancaster, California. Antelope Valley Urology Medical Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Antelope Valley Urology Medical Group Inc is 1396888152. The last update date is 2020-08-22.
Antelope Valley Urology Medical Group Inc's current location address is 44105 15th St W, Lancaster, California. You can contact this provider via phone number 6619493006 and fax number 6619498770. The mailing address for Antelope Valley Urology Medical Group Inc is 44105 15th St W, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antelope Valley Urology Medical Group Inc |
|---|---|
| Address | 44105 15th St W, Lancaster, California |
| Phone Number | 6619493006 |
| Fax Number | 6619498770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hadaya Tim Tawfik |
| Credentials | M.D. |
| Telephone Number | 6619493006 |
NPI Number Detail
| NPI Number | 1396888152 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 44105 15th St W |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 935344088 |
| Phone Number | 6619493006 |
| Fax Number | 6619498770 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C39635 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0076830 | CA | -- | |
| ZZZ53170Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Antelope Valley Urology Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Antelope Valley Urology Medical Group Inc has been issued the NPI (National Provider Identifier) 1396888152. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Antelope Valley Urology Medical Group Inc?
The Antelope Valley Urology Medical Group Inc is physically situated at 44105 15Th St W, in the city of Lancaster, state of CA, with the postal code 935344088.
What is Antelope Valley Urology Medical Group Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Antelope Valley Urology Medical Group Inc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Antelope Valley Urology Medical Group Inc receive the assignment of its 1396888152 from the Centers for Medicare & Medicaid Services?
The Antelope Valley Urology Medical Group Inc was issued its 1396888152 by the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the information regarding Antelope Valley Urology Medical Group Inc most recently updated?
The details pertaining to the Antelope Valley Urology Medical Group Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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