Pacific Burnett Medical Clinic | |
2491 Pacific Ave Suite 3 Long Beach CA 90806-2900 | |
(213) 444-6271 | |
(909) 992-3302 |
Full Name | Pacific Burnett Medical Clinic |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2491 Pacific Ave, Long Beach, California |
Authorized Official Name and Position | Lawrence O Ogbechie (MEDICAL DIRECTOR) |
Authorized Official Contact | 2134446271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Burnett Medical Clinic 1142 S Diamond Bar Blvd Suite 406 Diamond Bar CA 91765-2203 Ph: (213) 444-6271 | Pacific Burnett Medical Clinic 2491 Pacific Ave Suite 3 Long Beach CA 90806-2900 Ph: (213) 444-6271 |
NPI Number | 1588611461 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 02/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588611461 | NPI | - | NPPES |
GR0082750 | Medicaid | CA | |
00A619590 | Other | CA | LA MENTAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A61959 (California) | Primary |
208D00000X | General Practice | A61959 (California) | Secondary |
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