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Organization
PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.
Active
Organization
PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PO LONG LEW (DOCTOR)
(626) 288-8881
Entity
Organization
Contact information
Practice address
9308 VALLEY BLVD, ROSEMEAD, CA 91770-1924
(626) 288-8881
Mailing address
9308 VALLEY BLVD, ROSEMEAD, CA 91770-1924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX53801
—
CA
Enumeration date
07/29/2008
Last updated
09/02/2008
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