Individual
ANTONIO RAGAY AMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3559 E SOUTH ST STE B, LONG BEACH, CA 90805-4519
(704) 366-7584
(704) 364-2417
Mailing address
3559 E SOUTH ST STE B, LONG BEACH, CA 90805-4519
(704) 366-7584
(704) 364-2417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200100999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1292V
BLUE CROSS BLUE SHIELD
NC
05
—
891292V
—
NC
Enumeration date
07/07/2006
Last updated
03/14/2019
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