person
Jutara Srivali Teal, LAC
General Practice Physician in Long Beach, California
NPI 1962719146

Jutara Srivali Teal is a General Practice Physician based in Long Beach, CA. Jutara Srivali Teal practices in Long Beach, CA and has the professional credentials of LAC. The NPI Number for Jutara Srivali Teal is 1962719146 and holds a License No. AC13184 (California).

The current practice location address for Jutara Srivali Teal is 3815 Atlantic Ave, Long Beach, CA and can be reached out via phone at 562-896-3685.

Location: 3815 Atlantic Ave, Long Beach, CA, 90806-1414
person
Provider Profile Details
NPI Number
1962719146
Provider Name
Jutara Srivali Teal
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
3815 Atlantic Ave, Long Beach, CA, 90806-1414
Phone Number
562-896-3685
Fax Number
Provider Enumeration Date
09/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3815 Atlantic Ave
City
State
Zip
90807-3500
Phone Number
562-896-3685
Fax Number
person
Provider Business Mailing Address Details
Address
3815 Atlantic Ave
City
State
Zip
90807-3500
Phone Number
562-896-3685
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
AC13184 (California)
Definition
Definition to come...
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