# FVC LONG BEACH ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azura Surgery Center Long Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134882277
- **Authorized official:** ANTHONY D. BECKER MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 493-7260

## Contact information

- **Practice address:** 16506 LAKEWOOD BLVD STE 200, BELLFLOWER, CA 90706-5165
- **Practice address phone:** (562) 888-8961
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900
- **Mailing address fax:** (484) 924-0053

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2021
- **Last updated:** 11/14/2022