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Organization
SANCHEZ LONG BEACH CLINIC INC
Active
Organization
SANCHEZ LONG BEACH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL EFRAIN SANCHEZ D.O. (MEDICAL DIRECTOR)
(310) 639-2600
Entity
Organization
Contact information
Practice address
2777 PACIFIC AVE, SUITE 203, LONG BEACH, CA 90806-2625
(310) 639-2600
Mailing address
2512 DEERFORD ST, LAKEWOOD, CA 90712-3356
(310) 639-2600
(310) 630-2622
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A7037
CA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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