Individual
DR. BARRY B CEVERHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3828 SCHAUFELE AVE, SUITE 340, LONG BEACH, CA 90808-1791
(562) 427-5388
(562) 427-6467
Mailing address
17360 BROOKHURST ST, ATTN: MCMF- CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G29654
CA
207T00000X
Neurological Surgery Physician
Primary
G29654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G29654
—
CA
Enumeration date
02/07/2006
Last updated
07/19/2016
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