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Contact Information

LONG BEACH ANESTHESIA MEDICAL GROUP
1050 LINDEN AVE
LONG BEACH, CA90813
 Phone: 562-491-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LONG BEACH ANESTHESIA MEDICAL GROUP · (Female)

NPI # 1174548952
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2006
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # FNP16965
  • CA Medicaid GR0046640
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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