Fukumura, Glen Tomio
Fukumura, Glen Tomio is an individual health care provider with primary practice located at 2600 Redondo Ave , Long Beach CA 90806-2329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fukumura, Glen Tomio can be contacted via phone (562) 988-7349.Contact Information
Primary practice address
2600 Redondo Ave
Long Beach CA 90806-2329
Phone: (562) 988-7349
Fax: (562) 988-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A43686 | California |
Profile Details
| NPI number | 1437190139 |
|---|---|
| LBN Legal business name | Fukumura, Glen Tomio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Dec 27th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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