Organization
WCE CA ECC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MACKOVIC MD (OWNER/PRESIDENT)
(562) 424-8422
Entity
Organization
Contact information
Practice address
3711 LONG BEACH BLVD STE 700, LONG BEACH, CA 90807-3353
(562) 424-8422
Mailing address
3711 LONG BEACH BLVD STE 700, LONG BEACH, CA 90807-3353
(562) 424-8422
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
03/06/2020
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