Glen-White Urological Medical Group Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GLEN-WHITE UROLOGICAL MEDICAL GROUP INC

Practice address

1560 E Chevy Chase Dr
#325
Glendale, CA 91206-4140

Phone

(818) 242-1144

Fax

(818) 242-6948

NPI assigned

Jan 7, 2008

Last updated

Oct 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sze-Ching Lee, M.D.

Title

President

Phone

(818) 242-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Glen-White Urological Medical Group Inc

  • Urology Physician
  • Glendale, CA
  • NPI 1508814138

  O20050517001051

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sze Ching Lee, M.D.

  • Urology Physician
  • Glendale, CA
  • NPI 1427252303
  Medicare reassignment

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1659556835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "#325",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-242-1144",
            "fax_number": "818-242-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "#325",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-242-1144",
            "fax_number": "818-242-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN-WHITE UROLOGICAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SZE-CHING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen Dental Studio
• Glen Park at Glendale - Mariposa St
• Glen Park East
• Glen-Park West Retirement Community, Inc
• Glen-White Urological Medical Group Inc
• Glenburb Home Health Inc
• Glenburb Hospice Inc
• Glendale Adhc Center Inc.
• Glendale Adventist Emergency Physicians Incorporated
• Glendale Adventist Medical Center (Adventist Health Glendale)

• Urology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.