Organization · Type 2 NPI
Primary Access Medical Group, Inc
General Practice Physician · Long Beach, CA
NPI number
1801032164
Active
Practice location
273 E South St
Long Beach, CA 90805-4631
Fax (562) 422-9011
Mailing address
PO Box 607
San Dimas, CA 91773-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | A54374 (CA) |
| General Practice Physician Primary | 208D00000X | A36774 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1801032164
Primary Access Medical Group, Inc's National Provider Identifier is 1801032164, issued on Dec 16, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 16, 2008.