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LONG BEACH SURGERY CENTER LP NPI 1043217615


NPI Information

NPI: 1043217615
Provider Name: LONG BEACH SURGERY CENTER, LP

Doing Business As: SURGERY CENTER OF LONG BEACH

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0986953

Address:
2880 ATLANTIC AVENUE
SUITE 160
LONG BEACH, CA
ZIP 90806
Phone: (562) 988-9566
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LONG BEACH SURGERY CENTER, LP is an ambulatory surgical clinic center in Long Beach, CA. LONG BEACH SURGERY CENTER, LP NPI is 1043217615. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center Of Long Beach.

The provider's business location address is:

2880 ATLANTIC AVENUE
SUITE 160
LONG BEACH, CA
ZIP 90806-715
Phone: (562) 988-9566
Fax: (562) 997-4597

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 05D0986953 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 6/27/2022.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 4/28/2024

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