Provider Demographics
NPI:1245415462
Name:UROLOGY ASSOCIATES OF RIVERSIDE COUNTY
Entity Type:Organization
Organization Name:UROLOGY ASSOCIATES OF RIVERSIDE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-324-2180
Mailing Address - Street 1:802 MAGNOLIA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3144
Mailing Address - Country:US
Mailing Address - Phone:951-734-2900
Mailing Address - Fax:951-734-0385
Practice Address - Street 1:802 MAGNOLIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3144
Practice Address - Country:US
Practice Address - Phone:951-734-2900
Practice Address - Fax:951-734-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty