Organization
WEST COAST ENDOCRINE A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CONNELLY DO (OWNER)
(562) 988-0040
Entity
Organization
Contact information
Practice address
5500 E ATHERTON ST, SUITE 416, LONG BEACH, CA 90815-4016
(562) 988-0040
(562) 988-0041
Mailing address
5500 E ATHERTON ST, SUITE 416, LONG BEACH, CA 90815-4016
(562) 988-0040
(562) 988-0041
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
W17025
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
W17025
CA
Other
Enumeration date
05/29/2007
Last updated
01/22/2018
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