Organization
UROLOGICAL INSTITUTE OF SOUTHERN CALIFORNIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM LYNCH (ADMINISTRATOR)
(818) 784-8975
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, SUITE 111, ENCINO, CA 91316-1502
(818) 784-8975
(818) 784-7467
Mailing address
5400 BALBOA BLVD, SUITE 111, ENCINO, CA 91316-1502
(818) 784-8975
(818) 784-7467
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000931
CA
Other
Enumeration date
01/29/2007
Last updated
12/04/2020
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