OrganizationActive
Eastern Sierra Urology Prof Corp
NPI 1760607790 · Urology Physician · Bishop, CA
Eastern Sierra Urology Prof Corp is a Urology Physician organization in Bishop, CA (NPI 1760607790).
Provider details
- NPI number
- 1760607790
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tomi Bortolazzo, Owner(760) 872-1606
- License
- G67284 (CA)
Practice location
152 Pioneer Ln
Suite F
Bishop, CA 93514-2563
Phone: (760) 872-1606
Fax: (760) 872-3463
Street-level locationGet directions
Mailing address
152 Pioneer Ln
Bishop, CA 93514-2563
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2010-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.