Organization Active NPI

Millennium Urology Inc

  • Medical Specialty Clinic/Center
  • Long Beach, CA
National Provider Identifier
1417470261
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MILLENNIUM UROLOGY INC
Practice address
6226 E Spring St Ste 260
Long Beach, CA 90815-1454
Phone
(818) 445-3432
Fax
(562) 731-2926
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Albert A Petrossian, MD
Title
President
Phone
(562) 283-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6226 E Spring St Ste 260
Long Beach, CA 90815-1454

Mailing address

6226 E Spring St Ste 260
Long Beach, CA 90815-1454
Phone (818) 445-3432

Other names 2

  • Millennium Urology Inc Doing business as
  • CHN Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417470261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151454",
            "telephone_number": "818-445-3432",
            "fax_number": "562-731-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151454",
            "telephone_number": "818-445-3432",
            "fax_number": "562-731-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "PETROSSIAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-283-4876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Urology Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.