Organization
ON CALL UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED BIDAIR M.D. (PART OWNER)
(619) 229-2626
Entity
Organization
Contact information
Practice address
8851 CENTER DR STE 208, LA MESA, CA 91942-3189
(619) 229-2626
(619) 286-5412
Mailing address
8851 CENTER DR STE 208, LA MESA, CA 91942-3189
(619) 229-2626
(619) 286-5412
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ALL PENDING
CA
Enumeration date
12/21/2016
Last updated
07/21/2022
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