Individual
JUSTIN L MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23976
OK
2085R0202X
Diagnostic Radiology Physician
25MA11332000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
C178579
CA
2085R0202X
Diagnostic Radiology Physician
E-15351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116330A
—
OK
01
—
P00964010
MEDICARE RAILROAD
OK
Enumeration date
01/25/2007
Last updated
05/06/2026
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