Provider Demographics
NPI:1083387203
Name:SURGICAL MEDICAL GROUP INC
Entity Type:Organization
Organization Name:SURGICAL MEDICAL GROUP INC
Other - Org Name:SURGICAL MEDICAL GROUP INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-907-7458
Mailing Address - Street 1:18090 BEACH BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1327
Mailing Address - Country:US
Mailing Address - Phone:714-907-7458
Mailing Address - Fax:888-977-3286
Practice Address - Street 1:18090 BEACH BLVD STE 3
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1327
Practice Address - Country:US
Practice Address - Phone:714-907-7458
Practice Address - Fax:888-977-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty