First Integrated Care Med Group Inc

NPI 1720077852 - Family Medicine - 207Q00000X

NPI Details
NPI 1720077852
Enumeration Date 10/20/2005
Last Updated 08/19/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ELNORA T ELNORA
Position OFFICE MANAGER
Phone (562) 492-6698
Fax (562) 492-9553
Practice Location
1339 W WILLOW ST
LONG BEACH CA, 90810-3116, US
Phone (562) 492-6698
Fax (562) 492-9553
Business Location
1339 W WILLOW ST
LONG BEACH CA, 90810-3116, US
Phone (562) 492-6698
Fax (562) 492-9553
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A38544
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According to our database, First Integrated Care Med Group Inc NPI is 1720077852, taxonomy code is 207Q00000X and license number is A38544, license state is located at California. First Integrated Care Med Group Inc physically located at 1339 W Willow St, Long Beach CA, 90810-3116. NPI Number 1033115704 has the healthcare provider type.

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1720077852 NPI number is provided on an as is basis without warranty of any kind. 1720077852 is maintained by the National Plan & Provider Enumeration System. The contents of First Integrated Care Med Group Inc are for informational purposes only.