| Saint Albert Medical Clinic Inc | |
|
306 E Pacific Coast Hwy #102 Long Beach CA 90806-6259 | |
| (562) 599-0981 | |
| (562) 599-0972 |
| Full Name | Saint Albert Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 E Pacific Coast Hwy, Long Beach, California |
| Authorized Official Name and Position | Minh N Nguyen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5625990981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Albert Medical Clinic Inc 306 E Pacific Coast Hwy #102 Long Beach CA 90806-6259 Ph: (562) 599-0981 | Saint Albert Medical Clinic Inc 306 E Pacific Coast Hwy #102 Long Beach CA 90806-6259 Ph: (562) 599-0981 |
| NPI Number | 1710954136 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 01/18/2013 |
| Medicare PECOS PAC ID | 8022915016 |
|---|---|
| Medicare Enrollment ID | O20031217000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710954136 | NPI | - | NPPES |
| GR0077170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Minh N Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528166105 PECOS PAC ID: 7810894805 Enrollment ID: I20070406000311 |
| Provider Name | Serap Sobnosky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447302823 PECOS PAC ID: 7911091566 Enrollment ID: I20070913000551 |
| Provider Name | Brian P Mitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528015849 PECOS PAC ID: 2668556978 Enrollment ID: I20080226000296 |
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