| Skhavin LLC | |
|
100 W Broadway Fl 4 Long Beach CA 90802-4431 | |
| (310) 908-0696 | |
| Not Available |
| Full Name | Skhavin LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 100 W Broadway Fl 4, Long Beach, California |
| Authorized Official Name and Position | Sammy Kiflu (MANAGING MEMBER) |
| Authorized Official Contact | 3109080696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skhavin LLC 100 W Broadway Fl 4 Long Beach CA 90802-4431 Ph: (310) 908-0696 | Skhavin LLC 100 W Broadway Fl 4 Long Beach CA 90802-4431 Ph: (310) 908-0696 |
| NPI Number | 1326832981 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326832981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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