Organization
UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BRENDAN TYGENHOF (PARTNER)
(323) 865-3700
Entity
Organization
Contact information
Practice address
1400 N HARBOR BLVD STE 300, FULLERTON, CA 92835-4145
(714) 830-5970
(714) 870-4792
Mailing address
1400 N HARBOR BLVD STE 300, FULLERTON, CA 92835-4145
(714) 830-5970
(714) 870-4792
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A65760
CA
Other
Enumeration date
07/12/2005
Last updated
10/17/2025
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