| Endocrinology & Diabetes Specialty | |
|
3300 E South Street Suite 103 Long Beach CA 90805 | |
| (562) 634-9803 | |
| (562) 634-9845 |
| Full Name | Endocrinology & Diabetes Specialty |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3300 E South Street, Long Beach, California |
| Authorized Official Name and Position | Alex Kutas (PRESIDENT OWNER) |
| Authorized Official Contact | 5626349803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology & Diabetes Specialty 3300 E South St Suite 103 Lakewood CA 90805-4549 Ph: (562) 634-9803 | Endocrinology & Diabetes Specialty 3300 E South Street Suite 103 Long Beach CA 90805 Ph: (562) 634-9803 |
| NPI Number | 1508960212 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508960212 | NPI | - | NPPES |
| ZZZ09897Z | Other | CA | BLUE SHIELD |
| DC9614 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (California) | Primary |
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