# MD SURGICAL

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

## Provider details

- **NPI number:** 1306430996
- **Authorized official:** MRS. AMELIA MEDRANO MEDRANO (OWNER)
- **Authorized official phone:** (562) 413-2007

## Contact information

- **Practice address:** 3510 SOUTH ST.,, LAKEWOOD, CA 90712
- **Practice address phone:** (562) 413-2007
- **Practice address fax:** (562) 602-1915
- **Mailing address:** 3510 SOUTH ST.,, LAKEWOOD, CA 90712
- **Mailing address phone:** (562) 413-2007
- **Mailing address fax:** (562) 602-1915

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2021
- **Last updated:** 02/24/2021