Srwccs | |
3939 Atlantic Ave # 208 Long Beach CA 90807-3536 | |
(562) 498-3318 | |
Not Available |
Full Name | Srwccs |
---|---|
Speciality | Social Worker |
Location | 3939 Atlantic Ave, Long Beach, California |
Authorized Official Name and Position | A. Asungi (OWNER/CLINICAL THERAPIST) |
Authorized Official Contact | 5624983318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Srwccs 3939 Atlantic Ave # 208 Long Beach CA 90807-3536 Ph: (562) 498-3318 | Srwccs 3939 Atlantic Ave # 208 Long Beach CA 90807-3536 Ph: (562) 498-3318 |
NPI Number | 1376891630 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/17/2012 |
Medicare PECOS PAC ID | 6507014396 |
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Medicare Enrollment ID | O20120920000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376891630 | NPI | - | NPPES |
Provider Name | A Asungi |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386886505 PECOS PAC ID: 0446409965 Enrollment ID: I20120927000189 |
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