National Provider Identifier Database

COAST UROLOGICAL MEDICAL GROUP INC
Urology

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.


Contact Information

COAST UROLOGICAL MEDICAL GROUP, INC.
3771 KATELLA AVE STE 210
LOS ALAMITOS, CA90720
Phone: 562-430-0581
Fax: 562-598-2110
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for COAST UROLOGICAL MEDICAL GROUP, INC.

NPI Number 1194816892
Legal business name
LBN
COAST UROLOGICAL MEDICAL GROUP, INC.
Authorized official STEPHEN HIGHTOWER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/27/2006
Last updated 08/03/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: ZZZ75909Z

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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