KLEAN PHYSICIANS GROUP, LLC. (NPI# 1376955930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376955930 |
| Entity Type | Organization |
| Organization Name | KLEAN PHYSICIANS GROUP, LLC. |
| Practice Address |
211 Pioneer Rd W Long Beach WA 98631-3654 |
| Mailing Address |
9000 W Sunset Blvd Suite 650b West Hollywood CA 90069-5801 |
| Practice Telephone | 3606423105 |
| Practice Fax Number | 3606422766 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | ANDREW SPANSWICK (CEO) |
| Authorized Official Telephone | 3104358096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
211 PIONEER RD W |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992750558 | Oceanview Medical Investors, LLC | Skilled Nursing Facility | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2006-05-23 |
| 1346649092 | Anna Lang | Counselor | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2014-08-19 |
| 1912245259 | Klean Long Beach, Wa, LLC | Substance Abuse Rehabilitation Facility | 211 Pioneer Rd W, Long Beach, WA 98631-3654 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815512 | Rose Hanna Counseling Services | Psychologist | 5199 E Pacific Coast Hwy Ste 400, Long Beach, CA 90804-3370 | 2018-06-19 |
| 1679665939 | Pacific Resources Psychological Group | Psychologist | 4201 Long Beach Blvd, Ste.230, Long Beach, CA 90807-2007 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538585781 | Anjillia Dibaum | Psychologist | 5340 Ballard Ave Nw, Seattle, WA 98107-4060 | 2014-03-12 |
| 1154410876 | Madrona Institute of Washington | Psychologist | 884 W Park Ave, Port Townsend, WA 98368-2273 | 2006-10-12 |
| City | LONG BEACH |
| Zip Code | 98631 |
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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.