# LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043473390
- **Authorized official:** MRS. CAROLINE BARRAGAN (CREDENTIALING)
- **Authorized official phone:** (562) 531-2020

## Contact information

- **Practice address:** 3300 E SOUTH ST, SUITE 107, LONG BEACH, CA 90805-4550
- **Practice address phone:** (562) 531-2020
- **Practice address fax:** (562) 531-1142
- **Mailing address:** 3300 E SOUTH ST, SUITE 105, LONG BEACH, CA 90805-4550
- **Mailing address phone:** (562) 531-2020
- **Mailing address fax:** (562) 531-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 03/03/2009
