Organization · NPI-2

Aevum Performance & Urology

Urology · Los Angeles, CA

NPI number1891652129
StatusActive
Last updated in NPPESMay 12, 2026

Details

NPI
1891652129
Entity type
Organization (NPI-2)
Legal business name
Aevum Performance & Urology
Organization subpart
No
Enumeration date
Jan 8, 2026
Certification date
May 12, 2026
Last updated
May 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776

Phone 310-876-5649

Mailing address

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776

Phone 310-876-5649

Authorized official

Audley Osbourne
Ceo/Lead Physician
3475647818

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