Organization
ADVANCED SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE GOFFNEY MD (PRESIDENT)
(562) 930-3841
Entity
Organization
Contact information
Practice address
3300 E SOUTH ST, #201, LONG BEACH, CA 90805-4588
(562) 531-9272
(562) 408-0346
Mailing address
3300 E SOUTH ST, #201, LAKEWOOD, CA 90805-4588
(562) 531-9272
(562) 408-0346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G52590
CA
Other
Enumeration date
12/18/2007
Last updated
09/29/2015
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