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Organization
LB SEA PSYCHIATRY A MEDICAL CORPORATION
Active
Organization
LB SEA PSYCHIATRY A MEDICAL CORPORATION
Active
Other names
LB SEA PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MEDARD SISON (OWNER)
(562) 512-6475
Entity
Organization
Contact information
Practice address
1777 N BELLFLOWER BLVD STE 102, LONG BEACH, CA 90815-4019
(562) 512-6475
(562) 512-9012
Mailing address
3711 LONG BEACH BLVD UNIT 4535, LONG BEACH, CA 90807-3315
(562) 512-6475
(562) 512-9012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
03/29/2024
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