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Organization
ORTHOPEDIC SURGERY MEDICAL GROUP OF LONG BEACH, INC.
Active
Organization
ORTHOPEDIC SURGERY MEDICAL GROUP OF LONG BEACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMER IRVINE M.D. (M.D.)
(562) 595-5424
Entity
Organization
Contact information
Practice address
3918 LONG BEACH BLVD, SUITE 180, LONG BEACH, CA 90807-2666
(562) 595-5424
Mailing address
3918 LONG BEACH BLVD, SUITE 180, LONG BEACH, CA 90807-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G9197
CA
Other
Enumeration date
02/01/2007
Last updated
05/30/2008
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