Clougherty, Timothy Patrick

Clougherty, Timothy Patrick is an individual health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clougherty, Timothy Patrick can be contacted via phone (562) 933-2000.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806-1701
Phone: (562) 933-2000
Fax: (562) 933-1245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G25719 California

Profile Details

NPI number 1821011669
LBN Legal business name Clougherty, Timothy Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 2007 - about 18 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 1821011669 NPPES
California Other 00G257190 BLUE SHIELD ID #
California Other 00G257190385 BLUE SHIELD ID #
California MEDICAID 00G257190 BLUE SHIELD ID #

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