Provider Demographics
NPI:1407533201
Name:AMERICAN UROLOGY
Entity Type:Organization
Organization Name:AMERICAN UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEM ADMINISTRATOR, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LIONEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-712-9148
Mailing Address - Street 1:2858 OLIVE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2858 OLIVE HWY STE A
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6121
Practice Address - Country:US
Practice Address - Phone:530-712-9148
Practice Address - Fax:949-695-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty