Moreau, Gary P

Moreau, Gary P is an individual health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moreau, Gary P can be contacted via phone (562) 933-2000.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806-1737
Fax: (818) 587-2493
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A26212 California

Profile Details

NPI number 1871532325
LBN Legal business name Moreau, Gary P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871532325 NPPES
California MEDICAID 00A262120
California Other 00A262120

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