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1703 Termino Ave Ste 209 Long Beach CA 90804-2128 | |
(562) 498-3002 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1703 Termino Ave Ste 209, Long Beach, California |
Authorized Official Name and Position | Alexa Gozali (PRESIDENT) |
Authorized Official Contact | 9492939360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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28743 Jardineras Dr Valencia CA 91354-3097 Ph: () - | 1703 Termino Ave Ste 209 Long Beach CA 90804-2128 Ph: (562) 498-3002 |
NPI Number | 1861261992 |
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Provider Enumeration Date | 12/29/2023 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 4183168867 |
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Medicare Enrollment ID | O20240705001498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861261992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Julie Ann Sherman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437241635 PECOS PAC ID: 0941464697 Enrollment ID: I20120611000229 |
Provider Name | Alexa E Gozali |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407309594 PECOS PAC ID: 2264866722 Enrollment ID: I20191217001089 |
Provider Name | Anastasia Buerger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437699774 PECOS PAC ID: 6507291291 Enrollment ID: I20200128000788 |
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