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Organization
UROLOGY INSTITUTE OF THE SOUTH BAY
Active
Organization
UROLOGY INSTITUTE OF THE SOUTH BAY
Active
Parent organization
SKYLINE UROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKYLINE UROLOGY
Authorized official
SHARON NAKAZAWA R.N. (MANAGER)
(310) 534-8400
Entity
Organization
Contact information
Practice address
23600 TELO AVE # 220, TORRANCE, CA 90505-4035
(310) 534-8400
(310) 534-0463
Mailing address
23600 TELO AVE # 220, TORRANCE, CA 90505-4035
(310) 534-8400
(310) 534-0463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W11165
MEDICARE PTAN
CA
Enumeration date
08/03/2006
Last updated
01/23/2015
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