Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern California Urology Medical Group

Organization Urology Physician · NPI 1730013764

Southern California Urology Medical Group is an Urology Physician in Lakewood, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3650 S St Ste 408
Lakewood, CA 90712-1510
Phone: (562) 630-0423
Fax: (562) 630-0660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1730013764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Perley — Medical Director · (562) 355-6629
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address3650 South St Ste 408, Lakewood, CA 90712-1510

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