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Organization

GROWING HEALTHY TOGETHER INC., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL VICIOSO CPNP (OWNER)
(562) 473-4441
Entity
Organization

Contact information

Practice address
3835 E 7TH ST, LONG BEACH, CA 90804-5303
(562) 473-4441
(562) 473-4447
Mailing address
3835 E 7TH ST, LONG BEACH, CA 90804-5303
(562) 473-4441
(562) 473-4447

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22745
CA
261QP2300X
Primary Care Clinic/Center
Primary
22745
CA

Other

Enumeration date
11/19/2013
Last updated
12/24/2019
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