Thrive Health IV Clinic, P.C.
Clinic/Center, Multi-Specialty in Long Beach, CA. Organization (NPI-2).
NPI number1033972575
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1033972575
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Health IV Clinic, P.C.
- Organization subpart
- Yes
- Enumeration date
- Feb 6, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – |
Practice location
3900 Long Beach BlvdLong Beach, CA 90807-2615
Phone 310-363-8757 · Fax 310-363-8758
Mailing address
9675 Brighton Way Ste 410Beverly Hills, CA 90210-5192
Phone 310-636-8757
Authorized official
Karen M Mullen
Secretary
3103638757
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