Organization
GOLD STANDARD UROLOGY
Active
Other names
Gold Standard Urology Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA NICOLE SCOTT M.D. (PRESIDENT)
(213) 750-7675
Entity
Organization
Contact information
Practice address
617 W MANCHESTER AVE, LOS ANGELES, CA 90044-5718
(213) 750-7675
(888) 534-5766
Mailing address
4859 W SLAUSON AVE, #305, LOS ANGELES, CA 90056-1290
(213) 750-7675
(888) 534-5766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A100321
CA
208800000X
Urology Physician
Primary
A100321
CA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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