Individual
JAMES M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
PO BOX 14838, LONG BEACH, CA 90853-4838
(562) 826-6000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10359
CA
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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