Organization
TOWER UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZITA PAKRAVAN (CEO)
(310) 854-9898
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 1 WEST, LOS ANGELES, CA 90048-6101
(310) 854-0212
(310) 854-0627
Mailing address
8635 W 3RD ST, SUITE 1 WEST, LOS ANGELES, CA 90048-6101
(310) 854-0212
(310) 854-0627
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
W14266
CA
208800000X
Urology Physician
Primary
W14266
CA
Other
Enumeration date
07/04/2006
Last updated
02/04/2013
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