Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA NICHOLAS M.D (CHIEF EXECUTIVE OFFICER)
(562) 933-0432
Entity
Organization
Contact information
Practice address
455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
(562) 933-0400
Mailing address
455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
(562) 933-0400
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000104
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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