Organization
ASCENT UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LIU M.D. (PRESIDENT)
(562) 247-0883
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE STE 115, LOS ALAMITOS, CA 90720-3359
(562) 247-0883
(562) 512-9986
Mailing address
214 MAIN ST STE 131, EL SEGUNDO, CA 90245-3803
(562) 247-0883
(562) 512-9986
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A99210
CA
Other
Enumeration date
11/13/2015
Last updated
02/14/2024
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