LONG BEACH SURGICAL GROUP A MEDICAL CORPORATION NPI 1073795498

NPI Information

LONG BEACH SURGICAL GROUP A MEDICAL CORPORATION is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LONG BEACH SURGICAL GROUP A MEDICAL CORPORATION NPI is 1073795498. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 ELM AVE
SUITE #303
LONG BEACH, CA
ZIP 90813-264
Phone: (562) 436-9645
Fax: (562) 436-7119

The provider's authorized official is Linda Rose .
The authorized official title is Office Manager and has the following contact phone number (562) 436-9645.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 10/5/2012.

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:

Other Identifiers

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