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SHORELINE SURGERY CENTER LLC NPI 1386134062


NPI Information

NPI: 1386134062
Provider Name: SHORELINE SURGERY CENTER, LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 05D2152734

Address:
4300 LONG BEACH BLVD STE 150
LONG BEACH, CA
ZIP 90807
Phone: (562) 857-1928
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SHORELINE SURGERY CENTER, LLC is a surgery in Long Beach, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SHORELINE SURGERY CENTER, LLC NPI is 1386134062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 LONG BEACH BLVD STE 150
LONG BEACH, CA
ZIP 90807-016
Phone: (562) 857-1928

The provider's authorized official is Lee Marek .
The authorized official title is Board Member and has the following contact phone number (831) 588-7296.

The CLIA number assigned to this NPI record is 05D2152734 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2018 and was last updated on 5/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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