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BEACH ALLERGY & ASTHMA SPECIALTY GROUP

Allergy and Immunology

Long Beach, California

Provider NPI: 1902873060

Organization Information:
Organization Name:  BEACH ALLERGY & ASTHMA SPECIALTY GROUP


Practice Location:
3816 WOODRUFF AVE SUITE 209 LONG BEACH, CA 90808 US
Tel: 562-496-4749  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELDZZZ22603ZCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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