Organization · NPI-2
Advance Surgeons Medical Group INC
Surgery · Monterey Park, CA
NPI number1952311680
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1952311680
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Surgeons Medical Group INC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
120 W Hellman Ave Ste 203Monterey Park, CA 91754-1209
Phone 626-457-6333 · Fax 626-457-1933
Mailing address
120 W Hellman Ave Ste 203Monterey Park, CA 91754-1209
Phone 626-457-6333 · Fax 626-457-1933
Authorized official
Kenneth T Sim
President
6264576333
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