Organization
STAR UROLOGY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAYAR EBRAHIMI MD (CEO)
(818) 246-3300
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR STE 100, GLENDALE, CA 91206-4192
(818) 246-3300
(818) 246-3305
Mailing address
1577 E CHEVY CHASE DR STE 100, GLENDALE, CA 91206-4192
(818) 246-3300
(818) 246-3305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A91899
CA
Other
Enumeration date
04/29/2010
Last updated
06/08/2022
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