Individual provider · Type 1 NPI

Jutara Srivali Teal, L.AC

General Practice Physician · Long Beach, CA

NPI number 1962719146 Active

Practice location

3815 Atlantic Ave, #5
Long Beach, CA 90807-3500

Call (562) 896-3685 Map

Mailing address

2933 Cedar Ave
Long Beach, CA 90806-1414

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XAC13184 (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 1962719146

Jutara Srivali Teal, L.AC's National Provider Identifier is 1962719146, issued on Sep 9, 2010. 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 Sep 12, 2010.