Organization
FULLY LIVING CLINIC
Active
Other names
Asheena Keith Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
ASHEENA LEE M.D. (FOUNDER)
(888) 628-3789
Entity
Organization
Contact information
Practice address
6615 E PACIFIC COAST HWY STE 225, LONG BEACH, CA 90803-4216
(888) 628-3789
Mailing address
6615 E PACIFIC COAST HWY STE 225, LONG BEACH, CA 90803-4216
(888) 628-3789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
03/03/2019
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