Specialized Urologic Surgeons

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G81612 Issued in CA

Legal business name

SPECIALIZED UROLOGIC SURGEONS

Practice address

8631 W 3Rd St Ste 715E
Los Angeles, CA 90048-5911

Phone

(310) 278-8330

Fax

(310) 278-7595

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Kiarash Michel, M.D.

Title

Owner / Physician

Phone

(310) 278-8330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1265806822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 715E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485911",
            "telephone_number": "310-278-8330",
            "fax_number": "310-278-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 715E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485911",
            "telephone_number": "310-278-8330",
            "fax_number": "310-278-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED UROLOGIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "310-278-8330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G81612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.