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1164713590
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
LONG BEACH, CA
NPI
1164713590
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Entity Type
Organization
Authorized Contact
HERBERT MARSHAK
Medical Director
562-989-5712
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2011-04-19
Last Update Date
2015-10-05
Business Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
2777 PACIFIC AVE STE K
LONG BEACH, CA 90806-2625
Phone number: 562-989-5712
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Mailing Address
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
2980 N BEVERLY GLEN CIR SUITE 100
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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