Unknown Individual – Family Medicine Physician, NPI 1104829092
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Miller Children's Abuse and Violence Intervention Center, 2865, Atlantic Avenue, Willowville, Long Beach, Los Angeles County, California, 90806, United States
STE 206
LONG BEACH, CA 908067423
Phone: (562) 426-6151
Fax: (562) 426-0081
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90806)
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