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NPI Code Detail

MEDICARE: REGIONAL PHYSICIANS MEDICAL GROUP INC

MEDICARE: REGIONAL PHYSICIANS MEDICAL GROUP 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
1207RC0000XCardiovascular Disease PhysicianA32145CA
2174400000XSpecialistA32145CA

General Provider Information

NPI Number : 1205889144
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL PHYSICIANS MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 1974 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-595-9799
Fax Number : 562-595-8884
Provider Business Practice Location Address
First Line : 1974 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-595-9799
Fax Number : 562-595-8884
Authorized Official
Title or Position : MANAGER
Name : ANNIE T LAM
Credential :
Telephone Number : 562-595-9799
Provider Enumeration Date : 05/19/2006
Last Update Date : 04/27/2020

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Directions to “REGIONAL PHYSICIANS MEDICAL GROUP INC ” Practice Location

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