05D1021329 CLIA NUMBER - MARLENE ROCHA FAROOQ MD

Laboratory Demographics

CLIA Number: 05D1021329

Facility Name: MARLENE ROCHA FAROOQ MD

Facility Address:
4300 LONG BEACH BLVD #410
LONG BEACH, CA
ZIP 90807
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Facility Phone Number: 562 595-6050

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639173107

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	05D1021329
LAB Type	Physician Office
Facility Name	MARLENE ROCHA FAROOQ MD
Street	4300 LONG BEACH BLVD #410
City	LONG BEACH
State	CA
ZIP	90807
Phone	562 595-6050
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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