NPIMap

Organization Active NPI

Urological Institute of Southern California LLC

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1972649804
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
930000931 Issued in CA
Legal business name
UROLOGICAL INSTITUTE OF SOUTHERN CALIFORNIA LLC
Practice address
5400 Balboa Blvd
Suite 111
Encino, CA 91316-1502
Phone
(818) 784-8975
Fax
(818) 784-7467
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Mrs. Kim Lynch
Title
Administrator
Phone
(818) 784-8975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930000931 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd
Suite 111
Encino, CA 91316-1502

Mailing address

5400 Balboa Blvd
Suite 111
Encino, CA 91316-1502
Phone (818) 784-8975

National Provider Directory

National Provider Directory

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1972649804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-784-8975",
            "fax_number": "818-784-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE 111",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-784-8975",
            "fax_number": "818-784-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL INSTITUTE OF SOUTHERN CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-784-8975",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.