Organization
NOR CAL UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BOOTS (PRACTICE ADMINISTRATOR)
(510) 213-2261
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 710, OAKLAND, CA 94609-3122
(510) 465-5800
(510) 267-1833
Mailing address
3300 WEBSTER ST STE 710, OAKLAND, CA 94609-3122
(510) 465-5800
(510) 267-1833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208800000X
Urology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071770
—
CA
Enumeration date
07/28/2006
Last updated
11/26/2025
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