Organization
UROLOGY CENTER OF SO CALIF MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HOUMAN (CEO)
(951) 735-2700
Entity
Organization
Contact information
Practice address
28078 BAXTER RD, #314, MURRIETA, CA 92563-1402
(951) 677-3000
Mailing address
1820 FULLERTON AVE, #260, CORONA, CA 92881-3160
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CA
Other
Enumeration date
03/02/2010
Last updated
08/23/2013
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