Organization
DR. MACK, LLC
Active
Other names
Gynecology Emergent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MACKOVIC MD (OWNER)
(855) 376-2496
Entity
Organization
Contact information
Practice address
3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
(855) 376-2496
Mailing address
3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
(855) 376-2496
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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