# SURGICAL SUITE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1124187208
- **Authorized official:** MS. BARBARA JO CLEM RN, CPC (BILLING AND CONTRACTING)
- **Authorized official phone:** (714) 935-0073

## Contact information

- **Practice address:** 1040 ELM AVE STE 100, LONG BEACH, CA 90813-3265
- **Practice address phone:** (562) 591-4444
- **Practice address fax:** (562) 436-7350
- **Mailing address:** PO BOX 2677, LOS ALAMITOS, CA 90720-7677
- **Mailing address phone:** (714) 935-0073
- **Mailing address fax:** (714) 935-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AAAHC21768 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 07/14/2009