Organization
AEVUM PERFORMANCE & UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDLEY OSBOURNE MD (CEO/LEAD PHYSICIAN)
(347) 564-7818
Entity
Organization
Contact information
Practice address
11620 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90025-1776
(310) 876-5649
Mailing address
11620 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90025-1776
(310) 876-5649
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
05/12/2026
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