# SEA SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1750712667
- **Authorized official:** DR. JACK SHOHET MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 352-8396

## Contact information

- **Practice address:** 770 PACIFIC COAST HWY, SEAL BEACH, CA 90740-6215
- **Practice address phone:** (562) 352-8396
- **Practice address fax:** (562) 217-4499
- **Mailing address:** 770 PACIFIC COAST HWY, SEAL BEACH, CA 90740-6215
- **Mailing address phone:** (562) 352-8396
- **Mailing address fax:** (562) 217-4499

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 12/02/2013