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

Modern Urodynamics Medical Group Inc

Organization Urology Physician · NPI 1629205133

Modern Urodynamics Medical Group Inc is an Urology Physician in West Hollywood, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7855 Santa Monica Blvd
West Hollywood, CA 90046-5344
Phone: (323) 654-0356
Fax: (323) 297-5220
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A103568 (CA)

Record details

NPI number1629205133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Sparks — Md · (323) 654-0356
NPI enumeratedJune 11, 2009
Last updated in NPPESJune 11, 2009
Mailing address7855 Santa Monica Blvd, West Hollywood, CA 90046-5344

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