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Organization

UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SY TSI M.D. (CEO)
(951) 735-2700
Entity
Organization

Contact information

Practice address
801 SOUTH MAIN ST., SUITE 201, CORONA, CA 92882
(951) 735-2700
(951) 735-7564
Mailing address
801 S MAIN ST STE 201, CORONA, CA 92882-3410
(951) 735-2700
(951) 735-7564

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0090701
CA
01
ZZZ02497Z
BLUE SHIELD
CA
Enumeration date
06/27/2006
Last updated
12/18/2025
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