Eastern Sierra Urology Prof Corp
Eastern Sierra Urology Prof Corp is an Urology Physician in Bishop, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
152 Pioneer Ln Ste FBishop, CA 93514-2563
Phone: (760) 872-1606
Fax: (760) 872-3463
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence G67284 (CA) |
|---|
Record details
| NPI number | 1760607790 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tomi Bortolazzo — Owner · (760) 872-1606 |
| NPI enumerated | April 16, 2007 |
| Last updated in NPPES | December 14, 2010 |
| Mailing address | 152 Pioneer Ln, Suite F, Bishop, CA 93514-2563 |