MEDICARE: LONG BEACH OUT PT SURGERY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1881834596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG BEACH OUT PT SURGERY CENTER

Provider Business Mailing Address
First Line	:	2370 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3260
Country	:	US
Telephone Number	:	562-595-9493
Fax Number	:	562-595-9837

Provider Business Practice Location Address
First Line	:	2370 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3260
Country	:	US
Telephone Number	:	562-595-9493
Fax Number	:	562-595-9837

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PEARLMAN D HICKS JR.
Credential	:	M.D.
Telephone Number	:	562-595-9493

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	02/20/2009

Similar Medicare Providers

1215966809 — DR. PEARLMAN DAVID HICKS JR. MD
Practice Location Address:

2360 LONG BEACH BLVD
LONG BEACH, CA
90806-3260

Practice Phone: 562-595-9493
Practice Fax:

1578789046 — PEARLMAN D. HICKS, JR., M.D., INC
Practice Location Address:

2360 LONG BEACH BLVD
LONG BEACH, CA
90806-3260

Practice Phone: 562-595-9493
Practice Fax: 562-595-9837

1932583085 — LONG BEACH MEDISPA MANAGEMENT, INC.
Practice Location Address:

2370 LONG BEACH BLVD
LONG BEACH, CA
90806-3260

Practice Phone: 562-612-0950
Practice Fax:

1851769012 — JUSTICE RX GROUP, LLC
Practice Location Address:

2370 LONG BEACH BLVD
LONG BEACH, CA
90806-3260

Practice Phone: 562-612-0950
Practice Fax:

1740972074 — MIRAY LIFE CARE LLC
Practice Location Address:

3260 PINE AVE
LONG BEACH, CA
90807-5051

Practice Phone: 310-422-0950
Practice Fax:

1487654612 — DIABETIC CARE NETWORK, INC.
Practice Location Address:

3260 NW 23RD AVE , SUITE 800
POMPANO BEACH, FL
33069-1043

Practice Phone: 954-427-9510
Practice Fax: 954-427-9510

Directions to “LONG BEACH OUT PT SURGERY CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.