Organization
DOUGLAS K ULMER MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ULMER (OWNER)
(562) 435-5621
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE, LONG BEACH, CA 90813-3408
(562) 435-5621
(562) 437-3121
Mailing address
1045 ATLANTIC AVE, 819, LONG BEACH, CA 90813-3408
(562) 435-5621
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A24825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A248250
—
CA
01
—
5617507
OTHER ID NUMBER- COMMERCIAL NUMBER
CA
Enumeration date
06/13/2006
Last updated
06/03/2008
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