Organization
M-S SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNA JOHN SHAMMAS M.D. (OWNER)
(310) 638-9391
Entity
Organization
Contact information
Practice address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Mailing address
3510 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2010
(310) 638-9391
(310) 603-8749
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S551041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR51041G
—
CA
Enumeration date
08/09/2006
Last updated
03/17/2009
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