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NPI Code Detail

MEDICARE: PULMONARY, CRITICAL CARE, & SLEEP SPECIALISTS OF LONG BEACH, INC.

MEDICARE: PULMONARY, CRITICAL CARE, & SLEEP SPECIALISTS OF LONG BEACH, 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
1174400000XSpecialistA37820CA

General Provider Information

NPI Number : 1255766523
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMONARY, CRITICAL CARE, & SLEEP SPECIALISTS OF LONG BEACH, INC.
Provider Business Mailing Address
First Line : PO BOX 2017
Second Line :
City : GARDENA
State : CA
Zip : 90247-0017
Country : US
Telephone Number : 954-850-6404
Fax Number :
Provider Business Practice Location Address
First Line : 23517 SOUTH MAIN STREET
Second Line : SUITE 103
City : CARSON
State : CA
Zip : 90745-5234
Country : US
Telephone Number : 954-850-6404
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. AMJAD MUNIM
Credential : MD
Telephone Number : 954-850-6404
Provider Enumeration Date : 09/05/2013
Last Update Date : 09/05/2013

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