La Beach Cities Surgical Group
Surgery in Redondo Beach, CA. Organization (NPI-2).
NPI number1336025972
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1336025972
- Entity type
- Organization (NPI-2)
- Legal business name
- La Beach Cities Surgical Group
- Organization subpart
- No
- Enumeration date
- Aug 11, 2025
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
510 N Prospect AveRedondo Beach, CA 90277-3028
Phone 424-455-8093
Mailing address
7381 La Tijera Blvd Unit 45624Los Angeles, CA 90045-7027
Phone 424-455-8093
Authorized official
Osita Onugha
Ceo
4243278484
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