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NPI Code Detail

MEDICARE: LAURA JAIMES M.D

MEDICARE: LAURA JAIMES M.D
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
1207Q00000XFamily Medicine PhysicianA65867CA

General Provider Information

NPI Number : 1306839121
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA JAIMES M.D
Provider Business Mailing Address
First Line : 1333 CHESTNUT AVE
Second Line : ROOM 205
City : LONG BEACH
State : CA
Zip : 90813-2944
Country : US
Telephone Number : 562-599-8635
Fax Number : 562-218-0853
Provider Business Practice Location Address
First Line : 1333 CHESTNUT AVE
Second Line : ROOM 205
City : LONG BEACH
State : CA
Zip : 90813-2944
Country : US
Telephone Number : 562-599-8635
Fax Number : 562-218-0853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 08/20/2007

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Directions to “ LAURA JAIMES M.D” Practice Location

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