KAKKIS MEDICAL GROUP INC (NPI# 1356557060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356557060 |
Entity Type | Organization |
Organization Name | KAKKIS MEDICAL GROUP INC |
Practice Address |
6700 E Pacific Coast Hwy Ste 140 Long Beach CA 90803-4213 |
Practice Telephone | 5627991176 |
Practice Fax Number | 5624932823 |
Mailing Telephone | 5627991176 |
Mailing Fax Number | 5624932823 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-09-25 |
Authorized Official Name | DR. JOYCE A KAKKIS (PRESIDENT) |
Authorized Official Telephone | 5627991176 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
G48227 | CA | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G48142 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1100 W Stewart Dr Fl 2, Orange, CA 928683849 | 7147718950 | 7147448541 |
Street Address |
6700 E PACIFIC COAST HWY STE 140 |
City | LONG BEACH |
State | CA |
Zip Code | 90803-4213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083670640 | Joyce A Kakkis | Obstetrics & Gynecology | 6700 E Pacific Coast Hwy Ste 140, Long Beach, CA 90803 | 2006-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
Find all providers in zip 90803 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275993412 | Lb Multispecialty Medical Group Inc. | Obstetrics & Gynecology | 4401 Atlantic Ave Suite 480, Long Beach, CA 90807-2218 | 2016-03-01 |
1518061530 | Ostergard Gynecology & Female Urology Partnership Medical Group | Obstetrics & Gynecology | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2006-09-11 |
1982708921 | Narender Nath Bhatia | Obstetrics & Gynecology | 701 E 28th St Ste 212, Long Beach, CA 90806-2774 | 2006-09-11 |
1851334585 | Susan Etta Sklar | Obstetrics & Gynecology | 5000 E Spring St, Suite 402, Long Beach, CA 90815-1270 | 2006-06-13 |
1083670640 | Joyce A Kakkis | Obstetrics & Gynecology | 6700 E Pacific Coast Hwy Ste 140, Long Beach, CA 90803 | 2006-04-24 |
1790773943 | Kimberly R Mckanders | Obstetrics & Gynecology | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2005-10-12 |
1093258550 | Care First Community Medical Inc | Obstetrics & Gynecology | 4401 Atlantic Ave Ste 101, Long Beach, CA 90807-2260 | 2016-11-30 |
1720445117 | Sterling Pillsbury Jr. | Obstetrics & Gynecology | 1720 Termino Ave, Long Beach, CA 90804-2104 | 2016-01-15 |
1295960508 | Anna Gevorgyan | Obstetrics & Gynecology | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2009-05-17 |
1306014519 | Arthur J. Lunsk Md Inc. | Obstetrics & Gynecology | 1703 Termino Ave Ste 207, Long Beach, CA 90804-2128 | 2008-02-11 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90803 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.