Individual
AMBER BUCK TASOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 997-2000
Mailing address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15188
CA
Other
Enumeration date
03/14/2017
Last updated
12/15/2021
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