| NPI | 1629558713 |
|---|---|
| Former Legal Business Name | LAKEWOOD ORTHOPAEDIC SURGICAL & MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | EZZAT WADIH WASSEF General Partner 562-633-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 225100000X Physical Therapist | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-05-23 |