Antelope Valley Impotence & Incontinence Medical Center, Inc in Lancaster - Urology
Antelope Valley Impotence & Incontinence Medical Center, Inc - NPI 1043315120
Antelope Valley Impotence & Incontinence Medical Center, Inc is a Urology in Lancaster, California. Antelope Valley Impotence & Incontinence Medical Center, Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Antelope Valley Impotence & Incontinence Medical Center, Inc is 1043315120. The last update date is 2020-08-22.
Antelope Valley Impotence & Incontinence Medical Center, Inc's current location address is 44241 North 15th Street West, Lancaster, California. You can contact this provider via phone number 6619450601 and fax number 6619495965. The mailing address for Antelope Valley Impotence & Incontinence Medical Center, Inc is 44241 North 15th Street West, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antelope Valley Impotence & Incontinence Medical Center, Inc |
|---|---|
| Address | 44241 North 15th Street West, Lancaster, California |
| Phone Number | 6619450601 |
| Fax Number | 6619495965 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/UROLOG |
|---|---|
| Authorized Official Name | Rajaratnain Clement Eugene |
| Credentials | MD FACS |
| Telephone Number | 6619450601 |
NPI Number Detail
| NPI Number | 1043315120 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 44241 North 15th Street West |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 93534 |
| Phone Number | 6619450601 |
| Fax Number | 6619495965 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | C042345 |
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Definition: 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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OOC423450 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Antelope Valley Impotence & Incontinence Medical Center, Inc?
The Antelope Valley Impotence & Incontinence Medical Center, Inc has been issued the NPI (National Provider Identifier) 1043315120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Antelope Valley Impotence & Incontinence Medical Center, Inc is physically located?
The Antelope Valley Impotence & Incontinence Medical Center, Inc is physically situated at the following address: 44241 North 15Th Street West, Lancaster, CA, 93534.
What is Antelope Valley Impotence & Incontinence Medical Center, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Antelope Valley Impotence & Incontinence Medical Center, Inc is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043315120 to Antelope Valley Impotence & Incontinence Medical Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1043315120 to Antelope Valley Impotence & Incontinence Medical Center, Inc on 2006-09-14.
When was the information regarding Antelope Valley Impotence & Incontinence Medical Center, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Antelope Valley Impotence & Incontinence Medical Center, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.