Organization
ASSOCIATED UROLOGISTS OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARO M. TERTZAKIAN (MANAGING PARTNER)
(714) 639-1915
Entity
Organization
Contact information
Practice address
1801 N BROADWAY, SANTA ANA, CA 92706-2607
(714) 639-1915
(714) 824-6896
Mailing address
1801 N BROADWAY, SANTA ANA, CA 92706-2607
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235336397
MEDICARE NPI
—
Enumeration date
07/20/2011
Last updated
07/20/2011
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