El Camino Urology Medical Group, INC

NPI #1316989635 in Mountain View, California

Provider Information

NPI Number: 1316989635
Entity Type: Organization
Organization Name: El Camino Urology Medical Group, INC
Primary Specialty: Urology
Enumeration Date: Jun 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2490 HOSPITAL DR.
Address 2: STE. 210
City: Mountain View
State: California
ZIP Code: 94040-4323
Phone: (650) 962-4662

Authorized Official

Name: MS. TERRY GRANTHAM
Title: OFFICE MANAGER
Phone: (650) 962-4662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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