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Organization
UROLOGICAL MEDICAL ASSOCIATES
Active
Organization
UROLOGICAL MEDICAL ASSOCIATES
Active
Other names
Advanced Urology Medical Offices
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA RENEE WILLIAMS (PRACTICE MANAGER)
(310) 670-9119
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, #911, LOS ANGELES, CA 90045-3807
(310) 670-9119
(310) 670-7275
Mailing address
8540 S SEPULVEDA BLVD, #911, LOS ANGELES, CA 90045-3807
(310) 670-9119
(310) 670-7275
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028600
—
CA
Enumeration date
05/12/2006
Last updated
05/27/2025
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