Organization
ROBERT G PUGACH MD INC
Active
Other names
Pacific Coast Urology Medical Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GLENN PUGACH MD (PRESIDENT)
(562) 594-0860
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE, #110, LOS ALAMITOS, CA 90720
(562) 594-0860
(562) 594-9010
Mailing address
3801 KATELLA AVE, #110, LOS ALAMITOS, CA 90720
(562) 594-0860
(562) 594-9010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A41822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A418220
—
CA
Enumeration date
11/03/2006
Last updated
08/22/2020
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