MEDICARE: ANTHONY M DEBEUS 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	207WX0107X	Retina Specialist (Ophthalmology) Physician	28334	AZ
2	207W00000X	Ophthalmology Physician	28334	AZ
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	G84475	CA

General Provider Information

NPI Number	:	1962474247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY M DEBEUS MD

Provider Business Mailing Address
First Line	:	4300 LONG BEACH BLVD STE 300
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2008
Country	:	US
Telephone Number	:	323-728-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 LONG BEACH BLVD STE 300
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2008
Country	:	US
Telephone Number	:	562-984-7024
Fax Number	:	562-984-9477

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	05/07/2026

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