Simi San Fernando Valley Urology Associates
Specialist in Simi Valley, CA. Organization (NPI-2).
NPI number1023085271
StatusActive
Last updated in NPPESJan 20, 2009
Details
- NPI
- 1023085271
- Entity type
- Organization (NPI-2)
- Legal business name
- Simi San Fernando Valley Urology Associates
- Organization subpart
- No
- Enumeration date
- Mar 7, 2006
- Last updated
- Jan 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A37982 | CA | Yes |
Practice location
2925 Sycamore DrSuite 103
Simi Valley, CA 93065-1207
Phone 805-583-0944 · Fax 805-526-0417
Mailing address
2925 Sycamore DrSuite 103
Simi Valley, CA 93065-1207
Phone 805-583-0944 · Fax 805-526-0417
Authorized official
Muni Nanjunda Reddy
Sr. Partner
8055830944
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