Individual
ERNEST PROCHAZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6147 E HUNTDALE ST, LONG BEACH, CA 90808-2937
(361) 537-3576
Mailing address
6147 E HUNTDALE ST, LONG BEACH, CA 90808-2937
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
C51296
CA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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