Organization
JAMES J KRUEGER, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JEROME KRUEGER M.D. (OWNER)
(562) 424-6040
Entity
Organization
Contact information
Practice address
701 E 28TH ST, 400, LONG BEACH, CA 90806-2759
(562) 424-6040
(562) 427-2565
Mailing address
PO BOX 749, HUNTINGTON BEACH, CA 92648-0749
(562) 424-6040
(562) 427-2565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A45160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A451600
—
CA
Enumeration date
03/22/2007
Last updated
02/13/2008
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