| NPI | 1043640063 |
|---|---|
| Other Name | LONG BEACH PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL CARDIN Medical Director 562-492-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171W00000X Contractor |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2024-03-26 |