Long Beach Surgical Group A Medical Corporation in Long Beach - Specialist
Long Beach Surgical Group A Medical Corporation - NPI 1073795498
Long Beach Surgical Group A Medical Corporation is a Specialist in Long Beach, California. Long Beach Surgical Group A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Long Beach Surgical Group A Medical Corporation is 1073795498. The last update date is 2012-10-05.
Long Beach Surgical Group A Medical Corporation's current location address is 1040 Elm Ave, Long Beach, California. You can contact this provider via phone number 5624369645 and fax number 5624367119. The mailing address for Long Beach Surgical Group A Medical Corporation is 1040 Elm Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Long Beach Surgical Group A Medical Corporation |
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Address | 1040 Elm Ave, Long Beach, California |
Phone Number | 5624369645 |
Fax Number | 5624367119 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Rose Linda |
Telephone Number | 5624369645 |
NPI Number Detail
NPI Number | 1073795498 |
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Provider Enumeration Date | 2007-11-27 |
Last Updated Date | 2012-10-05 |
Provider Mailing Address Detail
Address | 1040 Elm Ave |
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City | Long Beach |
State | California (CA) |
Post Code | 908133264 |
Phone Number | 5624369645 |
Fax Number | 5624367119 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | C25484 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00C254840 | CA | -- | |
GR0014610 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Long Beach Surgical Group A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Long Beach Surgical Group A Medical Corporation has been issued the NPI (National Provider Identifier) 1073795498. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Long Beach Surgical Group A Medical Corporation is located?
The Long Beach Surgical Group A Medical Corporation is situated at the following address: 1040 Elm Ave, Long Beach, CA, 908133264.
What is Long Beach Surgical Group A Medical Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Long Beach Surgical Group A Medical Corporation is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073795498 to Long Beach Surgical Group A Medical Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1073795498 to Long Beach Surgical Group A Medical Corporation on 2007-11-27.
When was the information related to Long Beach Surgical Group A Medical Corporation most recently updated or refreshed?
The details pertaining to the Long Beach Surgical Group A Medical Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-05.
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