| Patricia a Maciog, MD | |
|
6226 E Spring St 240 Long Beach CA 90815-1423 | |
| (562) 928-7129 | |
| (562) 938-7431 |
| Full Name | Patricia a Maciog, MD |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6226 E Spring St, Long Beach, California |
| Authorized Official Name and Position | Patricia Maciog (OWNER) |
| Authorized Official Contact | 5629387129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia a Maciog, MD 6226 E Spring St 240 Long Beach CA 90815-1423 Ph: (562) 928-7129 | Patricia a Maciog, MD 6226 E Spring St 240 Long Beach CA 90815-1423 Ph: (562) 928-7129 |
| NPI Number | 1285055970 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285055970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A049415 (California) | Primary |
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