| NPI | 1609522838 |
|---|---|
| Doing Business As | CENTER FOR RECONSTRUCTIVE UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DENISE CALHOUN Manager 714-456-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |