Organization
SHORELINE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE MAREK DO (BOARD MEMBER)
(831) 588-7296
Entity
Organization
Contact information
Practice address
4300 LONG BEACH BLVD STE 150, LONG BEACH, CA 90807-2016
(562) 857-1928
Mailing address
4300 LONG BEACH BLVD STE 150, LONG BEACH, CA 90807-2016
(562) 857-1928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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