Organization
COUNTY OF LOS ANGELES
Active
Other names
LONG BEACH COMP HEALTH CTR PHY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHEN (PHARMACY OFFICER)
(562) 599-8723
Entity
Organization
Contact information
Practice address
1333 CHESTNUT AVE, PHARMACY DEPARTMENT, LONG BEACH, CA 90813-2944
(562) 599-8723
(562) 591-3348
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 599-8723
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHE32435
CA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076786
PK
—
Enumeration date
04/20/2007
Last updated
01/05/2024
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