Organization
KIOWA ENTERPRISES, LLC
Active
Other names
South Bay Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL L CHUN M.D. (MEMBER)
(310) 374-4176
Entity
Organization
Contact information
Practice address
555 PIER AVE, SUITE 1-A, HERMOSA BEACH, CA 90254-3839
(310) 374-4176
(310) 374-4175
Mailing address
555 PIER AVE, SUITE 1-A, HERMOSA BEACH, CA 90254-3839
(310) 374-4176
(310) 374-4175
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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