Organization
CENTER OF SURGICAL EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTIS WOODWARD (MANAGER)
(562) 422-5400
Entity
Organization
Contact information
Practice address
4401 ATLANTIC AVE STE 101, LONG BEACH, CA 90807-2260
(562) 422-5400
Mailing address
4401 ATLANTIC AVE STE 101, LONG BEACH, CA 90807-2260
(562) 422-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40488
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
11/30/2016
Last updated
09/28/2021
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