# SURGICAL EVOLUTION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Evolution, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699169235
- **Authorized official:** PHILLIP CONNOLLY (OWNER)
- **Authorized official phone:** (805) 660-3510

## Contact information

- **Practice address:** 409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870
- **Practice address phone:** (805) 660-3510
- **Mailing address:** 409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 03/20/2015
