Organization
MD SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA MEDRANO MEDRANO (OWNER)
(562) 413-2007
Entity
Organization
Contact information
Practice address
3510 SOUTH ST.,, LAKEWOOD, CA 90712
(562) 413-2007
(562) 602-1915
Mailing address
3510 SOUTH ST.,, LAKEWOOD, CA 90712
(562) 413-2007
(562) 602-1915
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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