Berkeley Urological Associates a Medical Group Inc. Fka Lyon
NPI #1992872410 in Berkeley, California
Provider Information
- NPI Number
- 1992872410
- Entity Type
- Organization
- Organization Name
- Berkeley Urological Associates a Medical Group Inc. Fka Lyon
- Primary Specialty
- Urology - Pediatric Urology
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Mar 12, 2009
Practice Location
- Address
- 2999 REGENT ST
- Address 2
- #612
- City
- Berkeley
- State
- California
- ZIP Code
- 94705-2146
- Phone
- (510) 848-1733
Authorized Official
- Name
- TINA M BETTENCOURT
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (510) 848-1733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology - Pediatric Urology — Pediatric Urology |
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