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Organization
COMPLETE CARE SURGICAL CENTER LLC
Active
Organization
COMPLETE CARE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM MACKOVIC-BASIC M.D. (MEDICAL DIRECTOR)
(562) 634-8812
Entity
Organization
Contact information
Practice address
3711 LONG BEACH BLVD, STE 101, LONG BEACH, CA 90807-3315
(562) 424-8422
Mailing address
3650 SOUTH ST, STE 403, LAKEWOOD, CA 90712-1502
(562) 634-8812
(562) 634-6033
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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