Organization
THE UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP ,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HOUMAN (CEO)
(951) 735-2700
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON ROAD, #200, IRVINE, CA 92618
(951) 735-2700
Mailing address
1820 FULLERTON AVE, #260, CORONA, CA 92881-3101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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