Organization
HUNTINGTON UROLOGY SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA JUNE CHILDERS (ADMINISTRATOR)
(310) 650-3353
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE STE 412, PASADENA, CA 91105-3154
(626) 486-0184
(626) 486-0217
Mailing address
800 S. FAIRMOUNT AVE STE 412, PASADENA, CA 91105-3154
(626) 486-0184
(626) 486-0217
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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