Patricia A Maciog, Md

NPI 1285055970 - Clinic/Center - 261QP2300X

NPI Details
NPI 1285055970
Enumeration Date 12/23/2013
Last Updated 12/23/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PATRICIA PATRICIA
Position OWNER
Phone (562) 928-7129
Fax (562) 938-7431
Practice Location
6226 E SPRING ST
240
LONG BEACH CA, 90815-1423, US
Phone (562) 928-7129
Fax (562) 938-7431
Business Location
6226 E SPRING ST
240
LONG BEACH CA, 90815-1423, US
Phone (562) 928-7129
Fax (562) 938-7431
Toxanomy
Taxonomy Code 261QP2300X
License State California
License Number A049415
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According to our database, Patricia A Maciog, Md NPI is 1285055970, taxonomy code is 261QP2300X and license number is A049415, license state is located at California. Patricia A Maciog, Md physically located at 6226 E Spring St, Long Beach CA, 90815-1423. NPI Number 1033115704 has the healthcare provider type.

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1285055970 NPI number is provided on an as is basis without warranty of any kind. 1285055970 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia A Maciog, Md are for informational purposes only.