| |
6375 N Paramount Blvd Long Beach CA 90805-3301 | |
(562) 984-3365 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 6375 N Paramount Blvd, Long Beach, California |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 6375 N Paramount Blvd Long Beach CA 90805-3301 Ph: (562) 984-3365 |
NPI Number | 1124754353 |
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Provider Enumeration Date | 07/29/2022 |
Last Update Date | 08/19/2022 |
Identifier | Type | State | Issuer |
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1124754353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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