Gary Lee Colfax
Gary Lee Colfax is a Case Management Agency in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2390 Pacific AveLong Beach, CA 90806-3051
Phone: (714) 485-9778
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (CA) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1023577764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2019 |
| Last updated in NPPES | May 2, 2022 |
| Certification date | May 2, 2022 |
| Mailing address | 2390 Pacific Ave, Long Beach, CA 90806-3051 |
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