Individual
DONALD ROY OSTERGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 426-5630
(562) 492-9893
Mailing address
3650 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 426-5630
(562) 492-9893
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A21175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A211750
BC PPIN
CA
01
—
ZZZ82334Z
BLUE SHIELD
CA
05
—
ZZZ82334Z
—
CA
Enumeration date
09/11/2006
Last updated
05/22/2012
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