Provider Demographics
NPI:1235857657
Name:THE UROLOGY GROUP
Entity Type:Organization
Organization Name:THE UROLOGY GROUP
Other - Org Name:THE UROLOGY GROUP INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:DE ORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-283-4876
Mailing Address - Street 1:3791 KATELLA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2016
Mailing Address - Country:US
Mailing Address - Phone:562-598-6166
Mailing Address - Fax:562-735-3407
Practice Address - Street 1:3791 KATELLA AVE STE 200
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2016
Practice Address - Country:US
Practice Address - Phone:562-598-6166
Practice Address - Fax:562-735-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty