MEDICARE: GB MEDICAL SERVICES, INC.

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
1	251B00000X	Case Management Agency	499233	CA

General Provider Information

NPI Number	:	1225232739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GB MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	3505 LONG BEACH BLVD
Second Line	:	SUITE 1F
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3907
Country	:	US
Telephone Number	:	310-897-1478
Fax Number	:	562-988-3439

Provider Business Practice Location Address
First Line	:	3505 LONG BEACH BLVD
Second Line	:	SUITE 1F
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3907
Country	:	US
Telephone Number	:	310-897-1478
Fax Number	:	562-988-3439

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. BENEDICTA NGOZI ILOUNO
Credential	:	N.P
Telephone Number	:	310-897-1478

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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Directions to “GB MEDICAL SERVICES, INC. ” Practice Location

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