Organization
BAYSIDE UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B. HUNTING M.D. (OWNER)
(619) 420-0201
Entity
Organization
Contact information
Practice address
450 4TH AVE, STE 303, CHULA VISTA, CA 91910-4429
(619) 420-0201
(619) 425-7795
Mailing address
450 4TH AVE, STE 303, CHULA VISTA, CA 91910-4429
(619) 420-0201
(619) 425-7795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C371780
—
CA
Enumeration date
08/19/2006
Last updated
05/10/2011
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