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Organization
ST JOHN MEDICAL GROUP INC
Active
Organization
ST JOHN MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUSSEF AWAD M.D (MEDICAL OFFICER)
(909) 568-6770
Entity
Organization
Contact information
Practice address
3530 LONG BEACH BLVD STE 120, LONG BEACH, CA 90807-3972
(562) 989-1200
Mailing address
3530 LONG BEACH BLVD STE 120, LONG BEACH, CA 90807-3972
(562) 989-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52194
CA
Other
Enumeration date
03/20/2008
Last updated
06/26/2021
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