FIRST INTEGRATED CARE MEDICAL GROUP INC
Marriage and Family Therapists at Willow St, Long Beach, CA

License number
California A38544
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. ELNORA T TABILA RN
Title: OFFICE MANAGER
Phone: (562) 492-6698
Address
Address
1339 W Willow St, Long Beach, CA 90810
National Provider ID: 1720077852
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIRST INTEGRATED CARE MEDICAL GROUP, INC

1339 W Willow St, Long Beach, CA 90810

Industry:
Medical Doctor's Office
Registration:
Apr 15, 1983
State ID:
C1173590
Business type:
Articles of Incorporation
President:
Rodolfo T. Tabila (President)
Agent:
Rodolfo T Tabila,Rancho Palos Verdes, CA 90275 (Physical)

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