OrganizationActive
Los Alamos Physician Practices LLC
NPI 1902050040 · Urology Physician · Los Alamos, NM
Provider details
- NPI number
- 1902050040
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Mangum, Director(575) 521-5277
- License
- MD2008-0654 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3917 West Rd
Suite 137
Los Alamos, NM 87544-2275
Phone: (575) 661-8500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 129
Los Alamos, NM 87544-0129
Other names (DBA / former)
- Doing business as
- Los Alamos Surgical Assoc- Urology
Registry dates
- Enumerated
- 2008-11-14
- Last updated
- 2008-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.