| NPI | 1548376577 |
|---|---|
| Doing Business As | SOUTHLAND UROLOGY |
| Entity Type | Organization |
| Authorized Contact | ERIC BRENDAN TYGENHOF Partner 323-865-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-10-14 |