Healthcare Provider Details

I. General information

NPI: 1780995811
Provider Name (Legal Business Name): MULTI-CULTURAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 10/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 E PACIFIC COAST HWY
LONG BEACH CA
90804-1344
US

IV. Provider business mailing address

2070 E PACIFIC COAST HWY
LONG BEACH CA
90804-1344
US

V. Phone/Fax

Practice location:
  • Phone: 562-621-1000
  • Fax:
Mailing address:
  • Phone: 562-621-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANJANA S SURA
Title or Position: DIRECTOR
Credential: MD
Phone: 562-621-1000