Organization
LONG BEACH PRIME MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G.B. HAERI MD (MEDICAL DIRECTOR)
(562) 997-7100
Entity
Organization
Contact information
Practice address
4014 LONG BEACH BLVD, #210, LONG BEACH, CA 90807-5407
(562) 997-7100
(562) 981-9423
Mailing address
4014 LONG BEACH BLVD, #210, LONG BEACH, CA 90807-5407
(562) 997-7100
(562) 981-9423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
Other
Enumeration date
03/27/2007
Last updated
07/21/2022
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