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Organization
LONG BEACH MILLER CHILDREN'S HOSPITAL
Active
Organization
LONG BEACH MILLER CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANNE FASNACHT-HILL PHD (NEUROPSYCHOLOGIST)
(714) 345-5651
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8832
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8832
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PSY18861
CA
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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