| L.a.r.p | |
|
1216 W Maddox St Long Beach CA 90810-2241 | |
| (562) 578-9290 | |
| Not Available |
| Full Name | L.a.r.p |
|---|---|
| Speciality | General Practice |
| Location | 1216 W Maddox St, Long Beach, California |
| Authorized Official Name and Position | Marchael Gordon (CEO/FOUNDER) |
| Authorized Official Contact | 5625789290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.a.r.p 1216 W Maddox St Long Beach CA 90810-2241 | L.a.r.p 1216 W Maddox St Long Beach CA 90810-2241 Ph: (562) 578-9290 |
| NPI Number | 1477255222 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 05/20/2023 |
| Certification Date | 05/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477255222 | NPI | - | NPPES |
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