Antelope Valley Urology Medical Group Inc

LBN: Antelope Valley Urology Medical Group Inc
Antelope Valley Urology Medical Group Inc is an health care organization with primary practice located at 44105 15Th St W Suite 302, Lancaster CA 93534-4088. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Antelope Valley Urology Medical Group Inc can be contacted via phone (661) 949-3006, or through Hadaya, Tawfik Tim via phone (661) 949-3006.

Contact Information

Primary practice address
44105 15Th St W Suite 302 Lancaster CA 93534-4088
Fax: (661) 949-8770
Website:
Authorized official contact:
Name: Hadaya, Tawfik Tim Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C39635 California
Other Service Providers / Specialist 174400000X A39485 California

Profile Details

NPI number 1396888152
LBN Legal business name Antelope Valley Urology Medical Group Inc
DBA Doing business as
Authorized official Hadaya, Tawfik Tim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 22nd, 2020 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396888152 NPPES
California MEDICAID GR0076830
California Other ZZZ53170Z

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