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Long Beach Surgical Group A Medical Corporation
Specialist in Long Beach, California
NPI 1073795498

Long Beach Surgical Group A Medical Corporation is a Specialist based in Long Beach, CA. Long Beach Surgical Group A Medical Corporation practices in Long Beach, CA. The NPI Number for Long Beach Surgical Group A Medical Corporation is 1073795498 and holds a License No. C25484 (California).

The current practice location address for Long Beach Surgical Group A Medical Corporation is 1040 Elm Ave, Long Beach, CA and can be reached out via phone at 562-436-9645 and via fax at 562-436-7119.

Location: 1040 Elm Ave, Long Beach, CA, 90813-3264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073795498
Provider Name
Long Beach Surgical Group A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1040 Elm Ave, Long Beach, CA, 90813-3264
Phone Number
562-436-9645
Fax Number
562-436-7119
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C254840 05 CA
GR0014610 05 CA
institution
Provider Business Practice Location Address Details
Address
1040 Elm Ave
City
Long Beach
State
California
Zip
90813-3264
Phone Number
562-436-9645
Fax Number
562-436-7119
person
Provider Business Mailing Address Details
Address
1040 Elm Ave
City
Long Beach
State
California
Zip
90813-3264
Phone Number
562-436-9645
Fax Number
562-436-7119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C25484 (California)
Definition
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.
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