Organization
ORTHOPEDIC SURGERY MEDICAL GROUP OF LONG BEACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMER IRVINE M.D. (M.D.)
(562) 595-5424
Entity
Organization
Contact information
Practice address
3918 LONG BEACH BLVD, SUITE 180, LONG BEACH, CA 90807-2666
(562) 595-5424
Mailing address
3918 LONG BEACH BLVD, SUITE 180, LONG BEACH, CA 90807-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G9197
CA
Other
Enumeration date
02/01/2007
Last updated
05/30/2008
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