Organization
SOUTH MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOBE OBENG (EXECUTIVE DIRECTOR)
(310) 800-7963
Entity
Organization
Contact information
Practice address
1530 E. SOUTH STREET, LONG BEACH, CA 90805
(562) 984-9200
Mailing address
3533 W. PICO BLVD, LONG BEACH, CA 90805
(562) 984-9200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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