Organization
UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY
Active
Other names
Southland Urology
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) 870-5970
(714) 870-4752
Mailing address
1400 N HARBOR BLVD STE 300, FULLERTON, CA 92835-4145
(714) 870-5970
(714) 870-4752
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2151
RR MEDICARE
—
Enumeration date
08/22/2006
Last updated
10/14/2025
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