Organization
ADVANCE SURGEONS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH T SIM MD FACC (PRESIDENT)
(626) 457-6333
Entity
Organization
Contact information
Practice address
120 W HELLMAN AVE STE 203, MONTEREY PARK, CA 91754-1209
(626) 457-6333
(626) 457-1933
Mailing address
120 W HELLMAN AVE STE 203, MONTEREY PARK, CA 91754-1209
(626) 457-6333
(626) 457-1933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089240
—
CA
Enumeration date
08/08/2006
Last updated
01/15/2024
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