Debbie – Financial Counselor


“I began working for Dr. Pugach in 1986, I’m honored to be a part of his practice”
Debbie worked as Dr. Pugach’s nurse for 18 years before taking over the increasingly complex medical billing and financial counseling part of the practice.   Prior to joining Pacific Coast Urology Medical Center, Debbie worked at Harbor UCLA Medical Center on the surgical floor before becoming a clinical nurse.  Debbie met Dr. Pugach when they both worked at CIGNA Health Plan and she helped him to start his solo practice in Long Beach, CA.

Debbie has seen the practice grow throughout the years and is excited to have been a part of the growth and development of Pacific Coast Urology Medical Center.  Debbie stays on top of the billing, coding and reimbursement requirements and regulations. If you have any questions about your health insurance or billing/reimbursement questions, Debbie is here to help.

Christina – Front Office Coordinator & Receptionist


“I love seeing how satisfied patients are once they experience the excellent care our team provides and the wonderful results they receive.”

Christina joined Pacific Coast Urology Medical Center in 2006. She has worked in healthcare for over 15 years. In her roles in reception and the front office she always has a smile and encouraging words for our patients. Christina understands that our patients’ needs come first.  You can count on Christina to listen and care! Christina was born in Rio de Janeiro, Brazil and speaks, writes and reads Portuguese fluently.   She also speaks English and Spanish.

Aurora – Senior Nursing Coordinator & Procedure Specialist


“I was looking for a fast paced job, I like to be on the move and take on challenges,” says Aurora.  “I didn’t have any idea how much I would learn in such a short time! Dr. P. offered me a job and the opportunity to keep learning. I have so much interaction with the patients and I love it! It’s so nice to hear that our patients are happy and they always let us know we are doing a great job!”

Aurora officially joined Pacific Coast Urology in June of 2011. She started at PCUMC as an intern from Newbridge College, in Long Beach, CA and never left!.  Aurora has a great attitude and always provides compassionate care to patients. Aurora is fluent in English and Spanish.

See Aurora’s advanced educational training.

Marci – Nursing Assistant & HIFU Patient Care Coordinator


“The best part of the job is our patients. You meet so many people and you learn a lot of things every day. When patients come to the office they already know you and talk to you like you are a long-time friend. I like that.”

Marci joined Pacific Coast Urology Medical Center in 2007. After 7 years in the Front Office and providing excellent customer service, Marci transitioned to a medical assistant. Now that she is working directly with our patients in the back office she is making a difference in a whole new way! Marci also works with our prostate cancer patients as the HIFU Patient Coordinator. (Visit our dedicated HIFU site)  Marci is fluent in English and Spanish.

See Marci’s advanced nursing training certificates.

Nadine – Nutritional Coordinator

Nadine Lederfine

Nadine Lederfine, DipCN, is a Certified Clinical Nutritionist who works with Dr. Pugach’s patients. As a clinical nutritionist, Nadine helps patients eat more nutritious foods and helps them avoid foods that can be detrimental to their specific medical conditions like kidney stones and prostate cancer. By getting better nutrition into their bodies our patients can better manage their medical conditions along with improving their overall nutritional status.