The Urological Institute Of San Diego
Urology in La Mesa, CA. Organization (NPI-2).
NPI number1861707366
StatusActive
Last updated in NPPESAug 10, 2010
Details
- NPI
- 1861707366
- Entity type
- Organization (NPI-2)
- Legal business name
- The Urological Institute Of San Diego
- Organization subpart
- No
- Enumeration date
- Aug 10, 2010
- Last updated
- Aug 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | G85788 | CA | Yes |
Other names
- Scott Logan Brown, MD, A Professional Corp. (Former Legal Business Name)
Practice location
8851 Center DrSuite 208
La Mesa, CA 91942-3189
Phone 619-828-1000 · Fax 619-828-1001
Mailing address
8851 Center DrSuite 208
La Mesa, CA 91942-3189
Phone 619-828-1000 · Fax 619-828-1001
Authorized official
Beverly Halsey
Biller/Credentialer
9512464281
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