Organization
LONG BEACH SURGICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRAM ENAYATI M.D. (MEDICAL DIRECTOR)
(310) 409-3611
Entity
Organization
Contact information
Practice address
4401 ATLANTIC AVE STE 101, LONG BEACH, CA 90807-2260
(562) 573-4545
(562) 253-0330
Mailing address
4401 ATLANTIC AVE STE 101, LONG BEACH, CA 90807-2260
(562) 573-4545
(562) 253-0330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
01/06/2025
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