| Memorial Maritime Clinic, Inc. | |
|
150 S Pico Ave Long Beach CA 90802 | |
| (562) 432-2820 | |
| (562) 437-1353 |
| Full Name | Memorial Maritime Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 150 S Pico Ave, Long Beach, California |
| Authorized Official Name and Position | Mark Perez (OWNER) |
| Authorized Official Contact | 5624322821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Maritime Clinic, Inc. 150 S Pico Ave Long Beach CA 90802 Ph: (562) 432-2821 | Memorial Maritime Clinic, Inc. 150 S Pico Ave Long Beach CA 90802 Ph: (562) 432-2820 |
| NPI Number | 1528122389 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528122389 | NPI | - | NPPES |
| 00G675140 | Other | CA | BLUE SHIELD OF CA |
| G00675140 | Medicaid | CA | |
| G67514 | Other | CA | MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G067514 (California) | Primary |
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