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Contact Information

PEDIATRIC UROLOGY MEDICAL GROUP, INC.
87 SCRIPPS DR
SUITE 114
SACRAMENTO, CA95825-6372
 Phone: 916-649-8991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Urology

2088P0231X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for PEDIATRIC UROLOGY MEDICAL GROUP, INC.

NPI Number 1952469728
LBN Legal business name PEDIATRIC UROLOGY MEDICAL GROUP, INC.
Authorized official STEPHEN SHAPIRO - (PEDIATRIC UROLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # G22205
CA Medicaid GR0069580
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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