Individual
DR. GUS O DIXON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 TERMINO AVE, LONG BEACH, CA 90814-1764
(562) 987-0665
Mailing address
412 TERMINO AVE, LONG BEACH, CA 90814-1764
(562) 987-0665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G50775
CA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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