Organization · Type 2 NPI
Port Medical Associate Inc
General Practice Physician · Long Beach, CA
NPI number
1992935639
Active
Practice location
2530 Atlantic Ave Ste A
Long Beach, CA 90806-2741
Fax (562) 318-3042
Mailing address
PO Box 6200
Long Beach, CA 90806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Acupuncturist | 171100000X | None listed |
| General Practice Physician | 208D00000X | FNP39177 (CA) |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1992935639
Port Medical Associate Inc's National Provider Identifier is 1992935639, issued on Jul 15, 2009. 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 18, 2013.