PULMONARY, CRITICAL CARE, & SLEEP SPECIALISTS OF LONG BEACH, INC.
Medical Practice at Main St, Long Beach, CA

License number
California A37820
Category
Medical Practice
Type
Specialist
Owner
Name: DR. AMJAD MUNIM MD
Title: PRESIDENT
Phone: (954) 850-6404
Address
Address 2
23517 SOUTH Main St SUITE 103, Long Beach, CA 90745
PO Box 2017, Gardena, CA 90247
National Provider ID: 1255766523
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PULMONARY, CRITICAL CARE, & SLEEP SPECIALISTS OF LONG BEACH, INC

Long Beach, CA  -  Fort Lauderdale, FL

Registration:
Dec 18, 2013
Addresses:
23517 S Main St SUITE 103, Carson, CA 90745 (Physical)
1820 E Commerical Blvd, Fort Lauderdale, FL 33308 (Mailing)
1820 E Commercial Blvd, Fort Lauderdale, FL 33308
State ID:
F13000005451
Business type:
Foreign Profit Corporation
Secretary, Vice President, Chairman, Director, President:
Amjad Munim (Secretary, Vice President, Chairman, Director, President), 4901 NE 18 Ter, Fort Lauderdale, FL 33308 (Physical)
Agent:
Munim, Amjad,1820 E Commercial Blvd, Fort Lauderdale, FL 33308 (Physical)
EIN:
46-3400704

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