MICHAEL SURBAN

LONG BEACH, CA
NPI1619420858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TH0004X Psychologist, Health
(Licence: CA  953389108)
Enumeration Date2016-07-24
Last Update Date2016-07-24
Business Address
-- MICHAEL SURBAN
2272 PACIFIC AVE # A
LONG BEACH, CA 90806-4312
Phone number: 562-427-8018
Mailing Address
-- MICHAEL SURBAN
2272 PACIFIC AVE # A #4
LONG BEACH, CA 90806-4312
Phone number: 562-726-6190