| NPI | 1992884738 |
|---|---|
| Doing Business As | PACIFIC COAST UROLOGY MEDICAL CENTER INC |
| Entity Type | Organization |
| Authorized Contact | ROBERT GLENN PUGACH President 562-594-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A41822) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |