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NPI Code Detail

MEDICARE: TERP ET AL LLC

MEDICARE: TERP ET AL LLC
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
1171R00000XInterpreter

General Provider Information

NPI Number : 1619116456
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERP ET AL LLC
Provider Business Mailing Address
First Line : 6048 AVENIDA DE CASTILLO
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-2004
Country : US
Telephone Number : 562-342-4246
Fax Number : 562-342-4595
Provider Business Practice Location Address
First Line : 6048 AVENIDA DE CASTILLO
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-2004
Country : US
Telephone Number : 562-342-4246
Fax Number : 562-342-4595
Authorized Official
Title or Position : MANAGING PARTNER
Name : MR. DARYL G CROUSE
Credential : CI, CT
Telephone Number : 562-342-4246
Provider Enumeration Date : 02/18/2009
Last Update Date : 02/18/2009

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Directions to “TERP ET AL LLC ” Practice Location

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