Organization
HUNTINGTON BEACH TOTAL JOINT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE EBERLY MD (MEDICAL DIRECTOR)
(562) 923-6112
Entity
Organization
Contact information
Practice address
7801 CENTER AVE STE 102, HUNTINGTON BEACH, CA 92647-9112
(310) 792-3914
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/18/2021
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