Organization
ST. MARY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICA ALCOULOUMRE MD (MEDICAL DIRECTOR)
(562) 624-4900
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, SUITE 914, LONG BEACH, CA 90813-3408
(562) 624-4977
Mailing address
1045 ATLANTIC AVE, SUITE 914, LONG BEACH, CA 90813-3408
(562) 624-4977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
CA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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