| NPI | 1487717930 |
|---|---|
| Former Legal Business Name | LONG BEACH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON COLEN Corporate Controller 424-344-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A26145) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA A38593) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-07-23 |