# DOUGLAS K ULMER MD, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841233624
- **Authorized official:** DOUGLAS ULMER (OWNER)
- **Authorized official phone:** (562) 435-5621

## Contact information

- **Practice address:** 1045 ATLANTIC AVE, LONG BEACH, CA 90813-3408
- **Practice address phone:** (562) 435-5621
- **Practice address fax:** (562) 437-3121
- **Mailing address:** 1045 ATLANTIC AVE, 819, LONG BEACH, CA 90813-3408
- **Mailing address phone:** (562) 435-5621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A24825 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/03/2008