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Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA NICHOLAS M.D (CHIEF EXECUTIVE OFFICER)
(562) 933-0432
Entity
Organization
Contact information
Practice address
455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
(562) 933-0400
Mailing address
455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
(562) 933-0400
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000104
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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