Organization
LAKEWOOD FUNCTIONAL RESTORATION ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA SERDA (DIRECTOR)
(661) 472-4177
Entity
Organization
Contact information
Practice address
5750 DOWNEY AVE STE 302, LAKEWOOD, CA 90712-1476
(661) 472-4177
Mailing address
5750 DOWNEY AVE STE 302, LAKEWOOD, CA 90712-1476
(661) 472-4177
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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