Organization
COMPREHENSIVE DERMATOLOGY OF LONG BEACH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL H JAVAHERY MD (OWNER/PRESIDENT)
(562) 256-9929
Entity
Organization
Contact information
Practice address
3736 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-3492
(562) 256-9929
(562) 256-9946
Mailing address
3736 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807-3492
(562) 256-9929
(562) 256-9946
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
02/21/2012
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