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Individual

MICHAEL SURBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2272 PACIFIC AVE # A, LONG BEACH, CA 90806-4312
(562) 427-8018
Mailing address
2272 PACIFIC AVE # A, #4, LONG BEACH, CA 90806-4312
(562) 726-6190

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
953389108
CA

Other

Enumeration date
07/24/2016
Last updated
07/24/2016
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