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Organization
SAN DIEGO UROLOGY, INC
Active
Organization
SAN DIEGO UROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN GONZALEZ (ADMINISTRATOR)
(714) 856-5472
Entity
Organization
Contact information
Practice address
12650 SABRE SPRINGS PKWY STE 204, SAN DIEGO, CA 92128-4114
(714) 856-5472
Mailing address
23052 ALICIA PKWY STE 619, MISSION VIEJO, CA 92692-1643
(714) 856-5472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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