Organization Active NPI

Southern California Urology, Inc.

  • Urology Physician
  • Los Alamitos, CA
National Provider Identifier
1104888759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTHERN CALIFORNIA UROLOGY, INC.
Practice address
3801 Katella Ave
Suite 320
Los Alamitos, CA 90720-3338
Phone
(562) 598-0200
Fax
(562) 598-0222
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Henry H. Wu, M.D.NPI 1659489268
Title
C.E.O.
Phone
(562) 598-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3801 Katella Ave
Suite 320
Los Alamitos, CA 90720-3338

Mailing address

PO Box 1868
Los Alamitos, CA 90720-1868
Phone (562) 598-0200

National Provider Directory

National Provider Directory

Locations

2690 Pacific Ave
Ste 270
Long Beach, CA 90806
Phone (562) 599-0609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104888759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1868",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201868",
            "telephone_number": "562-598-0200",
            "fax_number": "562-598-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 320",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-598-0200",
            "fax_number": "562-598-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA UROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "562-598-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.