Organization
LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE BARRAGAN (CREDENTIALING)
(562) 531-2020
Entity
Organization
Contact information
Practice address
3300 E SOUTH ST, SUITE 107, LONG BEACH, CA 90805-4550
(562) 531-2020
(562) 531-1142
Mailing address
3300 E SOUTH ST, SUITE 105, LONG BEACH, CA 90805-4550
(562) 531-2020
(562) 531-1142
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ79385Z
—
CA
Enumeration date
07/08/2008
Last updated
03/03/2009
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