Organization
ESTEA AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIRI KONECNY DO (MEDICAL DIRECTOR)
(562) 595-6961
Entity
Organization
Contact information
Practice address
3440 ATLANTIC AVE STE 3, LONG BEACH, CA 90807-4568
(562) 595-6961
(562) 595-8430
Mailing address
3440 ATLANTIC AVE STE 3, LONG BEACH, CA 90807-4568
(562) 595-6961
(562) 595-8430
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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