Organization
BARRY B. CEVERHA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY CEVERHA M.D. (NEUROSURGEON)
(562) 427-5377
Entity
Organization
Contact information
Practice address
2865 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90806-1740
(562) 427-5388
(562) 427-6467
Mailing address
2865 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90806-1740
(562) 427-5388
(562) 427-6467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G29654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G29654
—
CA
01
—
G29654
MEDICARE (OLD ID NUMBER .... STATE LICENSE)
CA
Enumeration date
09/20/2010
Last updated
09/20/2010
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