Organization
SURGICAL EVOLUTION, INC.
Active
Other names
Surgical Evolution, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CONNOLLY (OWNER)
(805) 660-3510
Entity
Organization
Contact information
Practice address
409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870
(805) 660-3510
Mailing address
409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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