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Organization
LONG BEACH CORNER CLINIC INC
Active
Organization
LONG BEACH CORNER CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KNULL MD (MD)
(714) 673-0508
Entity
Organization
Contact information
Practice address
1936 E ANAHEIM ST, LONG BEACH, CA 90813-3908
(714) 309-4688
Mailing address
5952 COLDBROOK AVE, LAKEWOOD, CA 90713-1024
(714) 309-4688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G34669
CA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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