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Organization

AMERICAN CARDIOCARE MEDICAL CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY A OKONKWOAGUOLU M.D. (MEDICAL DIRECTOR)
(310) 490-2322
Entity
Organization

Contact information

Practice address
1125 CHERRY AVE, LONG BEACH, CA 90813-3911
(562) 591-9000
Mailing address
PO BOX 425, LAWNDALE, CA 90260-0425
(562) 591-9000

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
FNP39403
CA

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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