Organization
SIGNATURE UROLOGY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E ROTH (BOOK KEEPER)
(213) 212-4314
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90017-3909
(213) 212-4314
(213) 212-4366
Mailing address
1127 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90017-3909
(213) 212-4314
(213) 212-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
08/01/2023
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