# SOUTH BAY SURGICAL AND SPINE INSTITUTE

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

## Provider details

- **NPI number:** 1851508667
- **Authorized official:** SHELLY ROSEKELLY (MANAGER)
- **Authorized official phone:** (310) 740-4933

## Contact information

- **Practice address:** 4300 LONG BEACH BLVD STE 150, LONG BEACH, CA 90807-2016
- **Practice address phone:** (562) 728-0230
- **Practice address fax:** (562) 728-0237
- **Mailing address:** 4300 LONG BEACH BLVD STE 150, LONG BEACH, CA 90807-2016
- **Mailing address phone:** (562) 728-0230
- **Mailing address fax:** (562) 728-0237

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 01/29/2009