Individual
ARISSA KATIE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3900 E PACIFIC COAST HWY, LONG BEACH, CA 90804-2013
(877) 574-2273
Mailing address
3900 E PACIFIC COAST HWY, LONG BEACH, CA 90804-2013
(877) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A186383
CA
207Q00000X
Family Medicine Physician
PTL4161
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
10/27/2023
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