Provider First Line Business Practice Location Address:
2801 ATLANTIC AVE
Provider Second Line Business Practice Location Address:
LONG BEACH MEMORIAL MED CTR ATTN: EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-933-1411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2015