Champion Medical Group, a Medical Corporation
NPI #1164713590 in Long Beach, California
Provider Information
- NPI Number
- 1164713590
- Entity Type
- Organization
- Organization Name
- Champion Medical Group, a Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 19, 2011
- Last Updated
- Oct 5, 2015
Practice Location
- Address
- 2777 PACIFIC AVE
- Address 2
- STE K
- City
- Long Beach
- State
- California
- ZIP Code
- 90806-2625
- Phone
- (562) 989-5712
Authorized Official
- Name
- HERBERT MARSHAK, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (562) 989-5712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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