Organization
LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE
Active
Organization
LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE
Active
Other names
Lakewood Orthopaedic Surgical & Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZZAT WADIH WASSEF (GENERAL PARTNER)
(562) 633-3787
Entity
Organization
Contact information
Practice address
3828 SCHAUFELE AVE STE 320, LONG BEACH, CA 90808-1793
(562) 348-4588
(562) 420-2545
Mailing address
PO BOX 15848, NEWPORT BEACH, CA 92659-5848
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB232024
MEDICARE
CA
Enumeration date
08/17/2018
Last updated
05/23/2024
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