National Provider Identifier Database

VALLEY UROLOGIC 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

VALLEY UROLOGIC MEDICAL GROUP INC
39000 BOB HOPE DR
SUITE P303
RANCHO MIRAGE, CA92270
Phone: 760-346-1133
Fax: 760-346-8857
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for VALLEY UROLOGIC MEDICAL GROUP INC

NPI Number 1407900426
Legal business name
LBN
VALLEY UROLOGIC MEDICAL GROUP INC
Authorized official MARVIN BROOKS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: ZZZ72030Z

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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