Inland Empire Urology Medical Group Inc in Riverside - Specialist
Inland Empire Urology Medical Group Inc - NPI 1457312175
Inland Empire Urology Medical Group Inc is a Specialist in Riverside, California. Inland Empire Urology Medical Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Inland Empire Urology Medical Group Inc is 1457312175. The last update date is 2015-11-10.
Inland Empire Urology Medical Group Inc's current location address is 4500 Brockton Ave, Riverside, California. You can contact this provider via phone number 9516837620 and fax number 9516833052. The mailing address for Inland Empire Urology Medical Group Inc is 4500 Brockton Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Inland Empire Urology Medical Group Inc |
|---|---|
| Address | 4500 Brockton Ave, Riverside, California |
| Phone Number | 9516837620 |
| Fax Number | 9516833052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | M.D. |
|---|---|
| Authorized Official Name | Pietro John Timothy |
| Credentials | M.D. |
| Telephone Number | 9516837620 |
NPI Number Detail
| NPI Number | 1457312175 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2015-11-10 |
Provider Mailing Address Detail
| Address | 4500 Brockton Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014090 |
| Phone Number | 9516837620 |
| Fax Number | 9516833052 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A43577 |
|
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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What is the Inland Empire Urology Medical Group Inc's 1457312175?
The Inland Empire Urology Medical Group Inc's NPI (National Provider Identifier) Number is 1457312175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Inland Empire Urology Medical Group Inc's facilities are situated?
The facilities of Inland Empire Urology Medical Group Inc are physically located at the following address: 4500 Brockton Ave, Riverside, CA, 925014090.
What is Inland Empire Urology Medical Group Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Inland Empire Urology Medical Group Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Inland Empire Urology Medical Group Inc receive the assignment of its 1457312175 from the Centers for Medicare & Medicaid Services?
The Inland Empire Urology Medical Group Inc was issued its 1457312175 by the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date were the details pertaining to Inland Empire Urology Medical Group Inc last refreshed?
The information related to the Inland Empire Urology Medical Group Inc, including its address, specialty, and other relevant details, was last updated on 2015-11-10.