institution
Khemara Family Medical Clinic Inc.
General Practice Physician in Long Beach, California
NPI 1508296146

Khemara Family Medical Clinic Inc. is a General Practice Physician based in Long Beach, CA. Khemara Family Medical Clinic Inc. practices in Long Beach, CA. The NPI Number for Khemara Family Medical Clinic Inc. is 1508296146 and holds a License No. A41589 (California).

The current practice location address for Khemara Family Medical Clinic Inc. is 440 Redondo Ave Ste 201, Long Beach, CA and can be reached out via phone at 562-439-3803 and via fax at 866-593-7781.

Location: 440 Redondo Ave Ste 201, Long Beach, CA, 90814-5145
institution
Provider Profile Details
NPI Number
1508296146
Provider Name
Khemara Family Medical Clinic Inc.
Credential
Provider Entity Type
Organization
Address
440 Redondo Ave Ste 201, Long Beach, CA, 90814-5145
Phone Number
562-439-3803
Fax Number
866-593-7781
Provider Enumeration Date
11/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A41589 01 CA MEDICAL LICENSE
10940873 01 CA CAQA PROVIDER ENROLLMENT
ZZZ58486Y 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
440 Redondo Ave Ste 201
City
State
Zip
90814-5145
Phone Number
562-439-3803
Fax Number
866-593-7781
person
Provider Business Mailing Address Details
Address
440 Redondo Ave Ste 201
City
State
Zip
90814-5145
Phone Number
562-439-3803
Fax Number
866-593-7781
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A41589 (California)
Definition
Definition to come...
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