Ricky Phong Tan Mac in Long Beach - Endocrinology, Diabetes & Metabolism
Ricky Phong Tan Mac - NPI 1578581666
Ricky Phong Tan Mac is a Endocrinology, Diabetes & Metabolism in Long Beach, California. Ricky Phong Tan Mac practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Ricky Phong Tan Mac is 1578581666. The last update date is 2012-05-22.
Ricky Phong Tan Mac's current location address is 1868 Pacific Ave, Long Beach, California. You can contact this provider via phone number 5625954718. The mailing address for Ricky Phong Tan Mac is 1868 Pacific Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Phong Tan Mac |
|---|---|
| Address | 1868 Pacific Ave, Long Beach, California |
| Phone Number | 5625954718 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578581666 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2012-05-22 |
Provider Mailing Address Detail
| Address | 1868 Pacific Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908066113 |
| Phone Number | 5625954718 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | A68178 |
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Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
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What is the Ricky Phong Tan Mac's unique identification number?
The Ricky Phong Tan Mac has been assigned the NPI (National Provider Identifier) Number 1578581666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Ricky Phong Tan Mac is located?
The Ricky Phong Tan Mac is situated at the following address: 1868 Pacific Ave, Long Beach, CA, 908066113.
What is the Ricky Phong Tan Mac's specialty and taxonomy code?
The Ricky Phong Tan Mac's specialty is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code is 207Re0101X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578581666 to Ricky Phong Tan Mac?
The Centers for Medicare & Medicaid Services originally issued the 1578581666 to Ricky Phong Tan Mac on 2006-07-17.
As of what date were the Ricky Phong Tan Mac's details last updated?
The information pertaining to the Ricky Phong Tan Mac, including its address, specialty, and other details, was most recently updated on 2012-05-22.