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Organization
MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.
Active
Organization
MEMORIAL FAMILY MEDICINE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN Y MELVIN DO (CEO)
(562) 933-0055
Entity
Organization
Contact information
Practice address
450 E SPRING ST, #1, LONG BEACH, CA 90806-1625
(562) 933-0050
(562) 933-0079
Mailing address
450 E SPRING ST, #1, LONG BEACH, CA 90806-1625
(562) 933-0050
(562) 933-0079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071000
—
CA
Enumeration date
07/31/2006
Last updated
08/25/2010
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