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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

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

NPI Number 1194816892
LBN Legal business name COAST UROLOGICAL MEDICAL GROUP, INC.
Authorized official STEPHEN HIGHTOWER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2006
Last updated 08/03/2018 - About 8 years ago
Identifiers
CA Medicaid ZZZ75909Z
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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