Organization
ST NAZARENE MEDICAL CLINIC INC
Active
Parent organization
ST NAZARENE MEDICAL CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST NAZARENE MEDICAL CLINIC INC
Authorized official
DR. SUZANNE L FUSSELL MD (PRESIDENT)
(562) 989-0145
Entity
Organization
Contact information
Practice address
2403 ATLANTIC AVE, LONG BEACH, CA 90806-3221
(562) 989-0145
(562) 989-2135
Mailing address
2403 ATLANTIC AVE, LONG BEACH, CA 90806-3221
(562) 989-0145
(562) 989-2135
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A055383
CA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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