National Provider Identifier Database

CAPITOL UROLOGY 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

CAPITOL UROLOGY MEDICAL GROUP INC
1561 CREEKSIDE DR
SUITE 170
FOLSOM, CA95630
Phone: 916-983-5557
Fax: 916-983-7878
Website:
Specialty Taxonomy Code
* Urology 208800000X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for CAPITOL UROLOGY MEDICAL GROUP INC

NPI Number 1306867213
Legal business name
LBN
CAPITOL UROLOGY MEDICAL GROUP INC
Authorized official JOYCE MYERS - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2006
Last updated 11/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G59349
  • CA Medicaid: GR0065840

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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