Coast Urology Medical Group Inc
ExpiredCalifornia license 43453
License
- Licensed by
- Medical Board of California
- License number
- 43453
- Status
- Expired (Delinquent)
- First issued
- October 30, 2012
- Expired
- October 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
9850 Genesee Ave Suite 440
La Jolla, CA 92037
La Jolla, CA 92037
San Diego County