Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G56425 | CA |
NPI | 1043240443 |
---|---|
Provider Name | Fred H Batkin |
First Address | Long Beach, CA 90806-2759 |
Second Address | Long Beach, CA 90806-2759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 30/10/2013 |