LEE G RAZALAN MD, A MEDICAL CORPORATION
Ambulatory Health at Pacific Ave, Long Beach, CA

License number
California A30884
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. LEE G RAZALAN M.D.
Title: OWNER
Phone: (562) 424-4661
Address
Address
2511 Pacific Ave, Long Beach, CA 90806
National Provider ID: 1134650849
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEE G. RAZALAN, M.D., A MEDICAL CORPORATION

2511 Pacific Ave, Long Beach, CA 90806

Registration:
Nov 20, 1981
State ID:
C1060212
Business type:
Articles of Incorporation
President:
Lee G. Razalan (President)
Agent:
Zenaida G Razalan,Long Beach, CA 90806 (Physical)

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