Organization
XCELL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS FULLER MD (PARTNER)
(310) 897-0802
Entity
Organization
Contact information
Practice address
200 W WARDLOW RD, LONG BEACH, CA 90807-4429
(562) 276-0026
Mailing address
8929 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-1951
(310) 897-0802
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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