Organization
SURGICAL SUITE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA JO CLEM RN, CPC (BILLING AND CONTRACTING)
(714) 935-0073
Entity
Organization
Contact information
Practice address
1040 ELM AVE STE 100, LONG BEACH, CA 90813-3265
(562) 591-4444
(562) 436-7350
Mailing address
PO BOX 2677, LOS ALAMITOS, CA 90720-7677
(714) 935-0073
(714) 935-0075
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AAAHC21768
CA
Other
Enumeration date
12/06/2006
Last updated
07/14/2009
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