Benjamin Jacob Fesagaiga in Long Beach - Psychiatric/mental Health

Benjamin Jacob Fesagaiga - NPI 1164579322

Benjamin Jacob Fesagaiga is a Psychiatric/mental Health in Long Beach, California. Benjamin Jacob Fesagaiga practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Benjamin Jacob Fesagaiga is 1164579322. The last update date is 2007-07-08.

Benjamin Jacob Fesagaiga's current location address is 1975 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5625999401. The mailing address for Benjamin Jacob Fesagaiga is 1975 Long Beach Blvd, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Jacob Fesagaiga
Address 1975 Long Beach Blvd, Long Beach, California
Phone Number 5625999401
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1164579322
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1975 Long Beach Blvd
City Long Beach
State California (CA)
Post Code 908065501
Phone Number 5625999401
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No 519452
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

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FAQs about Benjamin Jacob Fesagaiga

What is the Benjamin Jacob Fesagaiga's 1164579322?

The Benjamin Jacob Fesagaiga's NPI (National Provider Identifier) Number is 1164579322. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Benjamin Jacob Fesagaiga's physical address?

The Benjamin Jacob Fesagaiga is physically located at 1975 Long Beach Blvd, in the city of Long Beach, CA, with the postal code 908065501.

What is the Benjamin Jacob Fesagaiga's specialty and taxonomy code?

The Benjamin Jacob Fesagaiga's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 163Wp0808X.

On what date did the Benjamin Jacob Fesagaiga receive the assignment of its 1164579322 from the Centers for Medicare & Medicaid Services?

The Benjamin Jacob Fesagaiga was issued its 1164579322 by the Centers for Medicare & Medicaid Services on 2007-01-03.

As of what date were the Benjamin Jacob Fesagaiga's details last updated?

The information pertaining to the Benjamin Jacob Fesagaiga, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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