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Contact Information

SOUTH COAST UROGYNECOLOGY INC
31852 COAST HIGHWAY
SUITE 200
LAGUNA BEACH, CA92651
 Phone: 949-499-5311
 Fax: 949-499-5312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SOUTH COAST UROGYNECOLOGY INC · (Female)

NPI # 1558379479
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2006
Last updated 02/19/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # W18595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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