Ostergard, Donald Roy

Ostergard, Donald Roy is an individual health care provider with primary practice located at 3650 Atlantic Ave , Long Beach CA 90807-3418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Ostergard, Donald Roy can be contacted via phone (562) 426-5630.

Contact Information

Primary practice address
3650 Atlantic Ave Long Beach CA 90807-3418
Phone: (562) 426-5630
Fax: (562) 492-9893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X A21175 California

Profile Details

NPI number 1669576682
LBN Legal business name Ostergard, Donald Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated May 22nd, 2012 - about 14 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 1669576682 NPPES
California Other ZZZ82334Z BLUE SHIELD
California MEDICAID ZZZ82334Z BLUE SHIELD
California Other 00A211750 BLUE SHIELD

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