MEDICARE: MRS. EIMAN FOUAD NAGUIB FNP

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	363LF0000X	Family Nurse Practitioner	19512	CA

General Provider Information

NPI Number	:	1912211178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EIMAN FOUAD NAGUIB FNP

Provider Business Mailing Address
First Line	:	3780 KILROY AIRPORT WAY
Second Line	:	SUITE 110
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2457
Country	:	US
Telephone Number	:	562-989-3010
Fax Number	:	562-989-3016

Provider Business Practice Location Address
First Line	:	3780 KILROY AIRPORT WAY
Second Line	:	SUITE 110
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2457
Country	:	US
Telephone Number	:	562-989-3010
Fax Number	:	562-989-3016

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

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	07/29/2010

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