Long Beach Surgical Group A Medical Corporation

NPI 1073795498 - Specialist - 174400000X

NPI Details
NPI 1073795498
Enumeration Date 11/27/2007
Last Updated 10/05/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA LINDA
Position OFFICE MANAGER
Phone (562) 436-9645
Fax (562) 436-7119
Practice Location
1040 ELM AVE
SUITE #303
LONG BEACH CA, 90813-3264, US
Phone (562) 436-9645
Fax (562) 436-7119
Business Location
1040 ELM AVE
SUITE #303
LONG BEACH CA, 90813-3264, US
Phone (562) 436-9645
Fax (562) 436-7119
Toxanomy
Taxonomy Code 174400000X
License State California
License Number C25484
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According to our database, Long Beach Surgical Group A Medical Corporation NPI is 1073795498, taxonomy code is 174400000X and license number is C25484, license state is located at California. Long Beach Surgical Group A Medical Corporation physically located at 1040 Elm Ave, Long Beach CA, 90813-3264. NPI Number 1033115704 has the healthcare provider type.

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1073795498 NPI number is provided on an as is basis without warranty of any kind. 1073795498 is maintained by the National Plan & Provider Enumeration System. The contents of Long Beach Surgical Group A Medical Corporation are for informational purposes only.