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Individual

FREDERICK GRAY ASCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 TERMINO AVENUE, MEMORIAL OCCUPATIONAL MEDICAL SERVICES, LONG BEACH, CA 90804
(562) 933-0085
(562) 933-0088
Mailing address
PO BOX 2462, ORANGE, CA 92859-0462
(562) 933-0085
(562) 933-0088

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
19080
WI
2083X0100X
Occupational Medicine Physician
Primary
G29051
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G29051
CALIFORNIA MED. LICENSE
CA
Enumeration date
11/07/2006
Last updated
05/07/2013
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