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1862 E. Anaheim Street, Long Beach, CA 90813-3906 | |
(562) 218-4298 | |
(562) 218-1480 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 1862 E. Anaheim Street, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386953925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 32550 (California) | Secondary |
208D00000X | General Practice | A56425 (California) | Primary |
Provider Name | Hor B Chhay |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497842256 PECOS PAC ID: 2062600265 Enrollment ID: I20110103000227 |
Mailing Address | Practice Location Address |
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1862 E. Anaheim Street, Long Beach, CA 90813-3906 Ph: (562) 218-4298 | 1862 E. Anaheim Street, Long Beach, CA 90813-3906 Ph: (562) 218-4298 |