Individual
DR. JAMES JEROME KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E 28TH ST, SUITE 400, LONG BEACH, CA 90806-2759
(562) 424-6040
Mailing address
PO BOX 749, HUNTINGTON BEACH, CA 92648-0749
(562) 424-6040
(562) 427-2565
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A045160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX72340
—
CA
Enumeration date
10/10/2006
Last updated
02/13/2008
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