| |
2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | |
(562) 426-4598 | |
(562) 318-3042 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 2530 Atlantic Ave Ste A, Long Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1992935639 | NPI | - | NPPES |
FNP39177 | Other | CA | FICTITIOUS NAME PERMIT |
Mailing Address | Practice Location Address |
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Po Box 6200, Long Beach, CA 90806 Ph: (562) 426-4598 | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 Ph: (562) 426-4598 |