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Organization
SOUTHERN CALIFORNIA MINIMAL INVASIVE ENDOSCOPY INC
Active
Organization
SOUTHERN CALIFORNIA MINIMAL INVASIVE ENDOSCOPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERGIS RAID GHOBRIAL M.D. (PRESIDENT)
(562) 426-0147
Entity
Organization
Contact information
Practice address
2650 ELM AVE, SUITE 318, LONG BEACH, CA 90806-1651
(562) 426-0147
(888) 206-5318
Mailing address
541 GREEN ACRE DR, FULLERTON, CA 92835-3603
(562) 426-0147
(888) 206-5318
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A533370
CA
Other
Enumeration date
08/04/2006
Last updated
02/22/2013
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