MEDICARE: DR. JOHN PAUL CARDIN JR. 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
1	207VM0101X	Maternal & Fetal Medicine Physician	A41250	CA
2	208D00000X	General Practice Physician	A41250	CA
3	207V00000X	Obstetrics & Gynecology Physician	A41250	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467411744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN PAUL CARDIN JR. M.D.

Provider Business Mailing Address
First Line	:	2880 ATLANTIC AVE
Second Line	:	SUITE 230
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1714
Country	:	US
Telephone Number	:	562-424-4404
Fax Number	:	562-424-5180

Provider Business Practice Location Address
First Line	:	2880 ATLANTIC AVE
Second Line	:	SUITE 230
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1735
Country	:	US
Telephone Number	:	562-424-4404
Fax Number	:	562-424-5180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	05/21/2021

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Directions to “ DR. JOHN PAUL CARDIN JR. M.D.” Practice Location

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