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Organization
MICHAEL J DE LUCA MD INCORPORATED
Active
Organization
MICHAEL J DE LUCA MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DE LUCA MD (DIRECTOR CEO)
(562) 591-7377
Entity
Organization
Contact information
Practice address
1745 PACIFIC AVE, LONG BEACH, CA 90813-1714
(562) 591-7377
(562) 591-7388
Mailing address
1745 PACIFIC AVE, LONG BEACH, CA 90813-1714
(562) 591-7377
(562) 591-7388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A289710
—
CA
Enumeration date
11/14/2007
Last updated
05/01/2008
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