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Contact Information

GLEN-WHITE UROLOGICAL MEDICAL GROUP INC
1560 EAST CHEVY CHASE DR
SUITE 325
GLENDALE, CA91206
 Phone: 818-242-1144
 Fax: 818-242-6948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GLEN-WHITE UROLOGICAL MEDICAL GROUP INC

NPI Number 1508814138
LBN Legal business name GLEN-WHITE UROLOGICAL MEDICAL GROUP INC
Authorized official SZE-CHING LEE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 10/31/2017 - About 9 years ago
Identifiers
CA Medicaid G9410927
CA Medicaid GR0065130
CA Medicaid GR0065131
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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