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Organization

PEARLMAN D. HICKS, JR., M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELLE MARTINEZ (OFFICE MANAGER)
(562) 595-9493
Entity
Organization

Contact information

Practice address
2360 LONG BEACH BLVD, LONG BEACH, CA 90806-3260
(562) 595-9493
(562) 595-9837
Mailing address
2360 LONG BEACH BLVD, LONG BEACH, CA 90806-3260
(562) 595-9493
(562) 595-9837

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
G39324
CA
208200000X
Plastic Surgery Physician
G39324
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G39324
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
G39324
CA
208600000X
Surgery Physician
G39324
CA
2086S0120X
Pediatric Surgery Physician
G39324
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G39324
CA
2086S0127X
Trauma Surgery Physician
G39324
CA

Other

Enumeration date
04/17/2007
Last updated
09/24/2010
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