Individual
CHASEN J KUBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2801 ATLANTIC AVENUE, LONG BEACH, CA 90806-5002
(562) 933-2000
Mailing address
2801 ATLANTIC AVENUE, LONG BEACH, CA 90806
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95005198
CA
Other
Enumeration date
06/15/2017
Last updated
05/07/2023
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