| Roger A. Christensen Inc. | |
|
75 Bay Shore Ave Long Beach CA 90803-3407 | |
| (310) 804-3414 | |
| Not Available |
| Full Name | Roger A. Christensen Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Bay Shore Ave, Long Beach, California |
| Authorized Official Name and Position | Roger Anthony Christensen (PHYSICIAN) |
| Authorized Official Contact | 3108043414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger A. Christensen Inc. 75 Bay Shore Ave Long Beach CA 90803-3407 Ph: (310) 804-3414 | Roger A. Christensen Inc. 75 Bay Shore Ave Long Beach CA 90803-3407 Ph: (310) 804-3414 |
| NPI Number | 1295278265 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 09/18/2019 |
| Medicare PECOS PAC ID | 2860772092 |
|---|---|
| Medicare Enrollment ID | O20161206000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295278265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A11091 (California) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 20A11091 (California) | Primary |
| Provider Name | Roger A Christensen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114257771 PECOS PAC ID: 5991951485 Enrollment ID: I20120816000547 |
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