| Majestic Medical Clinic, Inc. | |
|
817 Atlantic Ave # 14 Long Beach CA 90813-4512 | |
| (562) 453-5236 | |
| Not Available |
| Full Name | Majestic Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 817 Atlantic Ave # 14, Long Beach, California |
| Authorized Official Name and Position | Christina Dary Lee (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5624535236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Majestic Medical Clinic, Inc. 817 Atlantic Ave # 14 Long Beach CA 90813-4512 Ph: (562) 453-5236 | Majestic Medical Clinic, Inc. 817 Atlantic Ave # 14 Long Beach CA 90813-4512 Ph: (562) 453-5236 |
| NPI Number | 1083079289 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Medicare PECOS PAC ID | 1658677810 |
|---|---|
| Medicare Enrollment ID | O20160315000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083079289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A62993 (California) | Primary |
| Provider Name | Christina D Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225035025 PECOS PAC ID: 8527015809 Enrollment ID: I20050407001359 |
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