Individual
GARTH VERDEGAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 985-4111
Mailing address
220 20TH ST, NEWPORT BEACH, CA 92663-4302
(559) 772-5896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013
CA
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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