Individual
CARLOS MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
Mailing address
11741 HARRIS AVE, LYNWOOD, CA 90262-4532
(562) 334-6816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
05/21/2025
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