# HUNTINGTON BEACH TOTAL JOINT CENTER LLC

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

## Provider details

- **NPI number:** 1811572225
- **Authorized official:** VANCE EBERLY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 923-6112

## Contact information

- **Practice address:** 7801 CENTER AVE STE 102, HUNTINGTON BEACH, CA 92647-9112
- **Practice address phone:** (310) 792-3914
- **Mailing address:** PO BOX 3129, TORRANCE, CA 90510-3129
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 03/18/2021