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Organization
LOS ANGELES SURGICAL CENTER
Active
Organization
LOS ANGELES SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HEWETT MD (MEDICAL DIRECTOR)
(949) 394-5018
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE STE 114, INGLEWOOD, CA 90301-4503
(949) 436-5630
Mailing address
2549 EASTBLUFF DR STE 337, NEWPORT BEACH, CA 92660-3500
(949) 436-5630
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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