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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for CAPITOL UROLOGY MEDICAL GROUP INC

NPI Number 1306867213
LBN Legal business name CAPITOL UROLOGY MEDICAL GROUP INC
Authorized official JOYCE MYERS - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 11/25/2008 - About 18 years ago
Identifiers
CA License # G59349
CA Medicaid GR0065840
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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