05D0901330 CLIA NUMBER - LEE G RAZALAN, MD

Laboratory Demographics

CLIA Number: 05D0901330

Facility Name: LEE G RAZALAN, MD

Facility Address:
2511 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
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Facility Phone Number: 310 424-4661

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780601534

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0901330
LAB Type	Physician Office
Facility Name	LEE G RAZALAN, MD
Street	2511 PACIFIC AVE
City	LONG BEACH
State	CA
ZIP	90806
Phone	310 424-4661
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024