Tara Reid D.O.

NPI 1982627956 - Family Medicine - 207QG0300X

NPI Details
NPI 1982627956
Gender Female
Enumeration Date 07/25/2006
Last Updated 01/29/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2255 N LAKEWOOD BLVD
LONG BEACH CA, 90815-2507, US
Phone (562) 498-8000
Fax (562) 494-8880
Business Location
2255 N LAKEWOOD BLVD
LONG BEACH CA, 90815-2507, US
Phone (562) 498-8000
Fax (562) 494-8880
Toxanomy
Taxonomy Code 207QG0300X
License State California
License Number 20A6919
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According to our database, Tara Reid D.O. NPI is 1982627956, taxonomy code is 207QG0300X and license number is 20A6919, license state is located at California. Tara Reid D.O. physically located at 2255 N Lakewood Blvd, Long Beach CA, 90815-2507. NPI Number Tara Reid D.O. has the Individual type.

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1982627956 NPI number is provided on an as is basis without warranty of any kind. 1982627956 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Reid D.O. are for informational purposes only.