05D1028070 CLIA NUMBER - LOIDA P CONSTANTINO MD MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D1028070

Facility Name: LOIDA P CONSTANTINO MD MEDICAL CLINIC

Facility Address:
1777 BELLFLOWER BLVD STE 104
LONG BEACH, CA
ZIP 90815
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Facility Phone Number: 562 961-8820

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487767604

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	05D1028070
LAB Type	Physician Office
Facility Name	LOIDA P CONSTANTINO MD MEDICAL CLINIC
Street	1777 BELLFLOWER BLVD STE 104
City	LONG BEACH
State	CA
ZIP	90815
Phone	562 961-8820
CertificateType	4
CertificateEffectiveDate	7/20/2022
CertificateExpirationDate	7/19/2024
FacilityType	Waiver

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