Organization
INTENSIVE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J CARLOS MAGGI M.D. (OWNER)
(562) 933-8743
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, 3RD FLOOR, LONG BEACH, CA 90806-1701
(562) 933-8743
(562) 933-8764
Mailing address
2801 ATLANTIC AVE, 3RD FLOOR, LONG BEACH, CA 90806-1701
(562) 933-8743
(562) 933-8764
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A40093
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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