| Kintaudi & Associates Medical Group, Inc | |
|
1125 Cherry Ave Long Beach CA 90813-3911 | |
| (562) 256-1633 | |
| (562) 256-1635 |
| Full Name | Kintaudi & Associates Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1125 Cherry Ave, Long Beach, California |
| Authorized Official Name and Position | Prudencia Kintaudi (PRESIDENT) |
| Authorized Official Contact | 5622561633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintaudi & Associates Medical Group, Inc 1125 Cherry Ave Long Beach CA 90813-3911 Ph: (562) 256-1633 | Kintaudi & Associates Medical Group, Inc 1125 Cherry Ave Long Beach CA 90813-3911 Ph: (562) 256-1633 |
| NPI Number | 1205874237 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205874237 | NPI | - | NPPES |
| WG31192G | Other | CA | PPIN |
| G31192 | Other | CA | MEDICAL LICENSE |
| WPA11462A | Other | CA | PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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