Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Long Beach Genito-Urinary Med Grp

Organization Urology Physician · NPI 1417976705

Greater Long Beach Genito-Urinary Med Grp is an Urology Physician in Lakewood, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

3650 S St Ste 408
Lakewood, CA 90712-1510
Phone: (562) 630-0423
Fax: (562) 630-0660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence G22223 (CA)

Record details

NPI number1417976705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jules Perley — Md/President · (562) 630-0423
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 15, 2010
Mailing address3650 South Street, Suite 408, Lakewood, CA 90712-1510

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