FAMILY PRACTICE ASSOCIATES OF CARSON
Suppliers at Carson St, Long Beach, CA

License number
California G74550
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: DIRECTOR OF OPERATIONS
Phone: (858) 625-2990
Address
Address 2
824 E Carson St, Long Beach, CA 90745
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1851546246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FAMILY PRACTICE ASSOCIATES OF CARSON at bizstanding.com

FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP, INC

824 E Carson St #201, Carson, CA 90745

Registration:
May 24, 1996
State ID:
C1970312
Business type:
Articles of Incorporation
Presidents:
Ghanian Reza (President),Reza Ghanian President, inactive
Agent:
Md Reza Ghanian,Carson, CA 90745 (Physical)

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