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NPI Code Detail

MEDICARE: DR. CONCEPCION A ENRIQUEZ M.D.

MEDICARE: DR. CONCEPCION A ENRIQUEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA50207CA

General Provider Information

NPI Number : 1093157596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONCEPCION A ENRIQUEZ M.D.
Provider Business Mailing Address
First Line : 3377 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4408
Country : US
Telephone Number : 310-753-9442
Fax Number : 310-378-3496
Provider Business Practice Location Address
First Line : 3377 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-4408
Country : US
Telephone Number : 310-753-9442
Fax Number : 310-378-3496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2013
Last Update Date : 07/24/2013

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Directions to “ DR. CONCEPCION A ENRIQUEZ M.D.” Practice Location

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