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Organization
SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
Active
Organization
SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNI NANJUNDA REDDY MD (SR. PARTNER)
(805) 373-8611
Entity
Organization
Contact information
Practice address
2190 LYNN RD, SUITE 290, THOUSAND OAKS, CA 91360-1980
(805) 373-8611
(805) 373-2857
Mailing address
2100 LYNN RD, SUITE 250, THOUSAND OAKS, CA 91360-1935
(805) 373-8611
(805) 373-2857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A37982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A379820
—
CA
01
—
096608547
SS#
CA
Enumeration date
09/25/2006
Last updated
06/04/2010
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