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
5750 DOWNEY AVE STE 308, LAKEWOOD, CA 90712
(562) 633-3787
(562) 633-1977
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
05
—
GR0066890
—
CA
Enumeration date
02/15/2007
Last updated
08/20/2024
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