Healthcare Provider Details
I. General information
NPI: 1902211477
Provider Name (Legal Business Name): WESTVIEW MEDICAL SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2014
Last Update Date: 06/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2990 E PACIFIC COAST HWY STE B
LONG BEACH CA
90804-1632
US
IV. Provider business mailing address
2990 E PACIFIC COAST HWY STE B
LONG BEACH CA
90804-1632
US
V. Phone/Fax
- Phone: 562-343-7182
- Fax:
- Phone: 562-343-7182
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALBERT
LAI
Title or Position: OWNER/ MEDICAL DIRECTOR
Credential: MD
Phone: 562-343-7181