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GREATER LONG BEACH GENITO-URINARY MED GRP
NPI 1417976705
Urology in Lakewood, CA

Active since July 18, 2006
3650 SOUTH STREET, SUITE 408, LAKEWOOD, CA 90712(562) 630-0423(562) 630-0660 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greater Long Beach Genito-urinary Med Grp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATER LONG BEACH GENITO-URINARY MED GRP (NPI 1417976705) is a healthcare organization registered as an urology in Lakewood, California and active in the NPI registry since July 2006. The organization lists Jules M Perley, Md/president, as its authorized official.

NPPES Registry Identity

NPI1417976705
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGREATER LONG BEACH GENITO-URINARY MED GRP
Location Address3650 SOUTH STREET, SUITE 408Lakewood, CA 90712-1510
Mailing Address3650 South Street, Suite 408Lakewood, CA 90712-1510 · (562) 630-0423 · Fax (562) 630-0660
Phone(562) 630-0423
Fax(562) 630-0660
Organization SubpartNo
Authorized OfficialJules M PerleyMd/president · (562) 630-0423
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1417976705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G22223
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3650 SOUTH STREET, Lakewood, CA 90712
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Other Identifiers 19

Other1801865381CA · Physician Individual Pin
OtherWA76527BCA · Medicare Individual Provi
OtherG54806CA · State License
Medicare ID-Type UnspecifiedW8676ECA · Medicare Group Provider #
Medicare ID-Type UnspecifiedW8676CA · Medicare Group Provider #
MedicaidGR0049180CA
OtherWA76527ACA · Medicare Individual Provi
OtherA76527CA · State License
OtherG22223CA · State License
Medicare UPINA52795CA
OtherWG54806DCA · Medicare Individual Provi
Other1326017831CA · Physician Individual Upin
OtherWG54806CCA · Medicare Individual Provi
OtherWG22223ACA · Medicare Individual Provi
OtherWG22223BCA · Medicare Individual Provi
Medicare UPINA41515CA
Medicare ID-Type UnspecifiedW8676ACA · Medicare Group Provider #
Other1497724900CA · Physician Individual Pin
Medicare UPINH52054CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greater Long Beach Genito-Urinary Med Grp's NPI number?

The NPI number for Greater Long Beach Genito-Urinary Med Grp is 1417976705. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Greater Long Beach Genito-Urinary Med Grp located?

Greater Long Beach Genito-Urinary Med Grp is located at 3650 South Street Suite 408, Lakewood, CA 90712. The listed phone number is (562) 630-0423.

What is Greater Long Beach Genito-Urinary Med Grp's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Greater Long Beach Genito-Urinary Med Grp was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.