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General NPI Number Information
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NPI Number | 1336025972
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Entity Type | Organization
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Legal Business Name | LA BEACH CITIES SURGICAL GROUP
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 510 N PROSPECT AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3028
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Country | US
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Telephone | 424-455-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 7381 LA TIJERA BLVD UNIT 45624
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City | LOS ANGELES
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State | CA
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Zip | 90045-7027
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Country | US
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Telephone | 424-455-8093
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OSITA ONUGHA
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Credential | MD
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Telephone | 424-327-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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