Organization
ADVANCED CENTER FOR UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGHWAN CHOI M.D. (PRESIDENT)
(714) 534-0744
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD, STE. 405, GARDEN GROVE, CA 92843-1902
(714) 534-0744
(714) 534-0785
Mailing address
12555 GARDEN GROVE BLVD, STE. 405, GARDEN GROVE, CA 92843-1902
(714) 534-0744
(714) 534-0785
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO8061
MEDICARE RAILROAD
CA
Enumeration date
05/23/2008
Last updated
11/21/2018
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