MEDICARE: FRANK J ATTENELLO MD

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	207Q00000X	Family Medicine Physician	G42643	CA

General Provider Information

NPI Number	:	1588790232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK J ATTENELLO MD

Provider Business Mailing Address
First Line	:	1201 E BIXBY RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4221
Country	:	US
Telephone Number	:	562-426-6554
Fax Number	:	562-426-9138

Provider Business Practice Location Address
First Line	:	1201 E BIXBY RD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-4221
Country	:	US
Telephone Number	:	562-426-6554
Fax Number	:	562-426-9138

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	11/25/2011

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