LONG BEACH-LAKEWOOD ORTHOPEDIC INSTITUTE (NPI# 1629558713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629558713 |
| Entity Type | Organization |
| Organization Name | LONG BEACH-LAKEWOOD ORTHOPEDIC INSTITUTE |
| Other Organization Name | LAKEWOOD ORTHOPAEDIC SURGICAL & MEDICAL GROUP |
| Practice Address |
3828 Schaufele Ave Ste 320 Long Beach CA 90808 |
| Mailing Address |
Po Box 15848 Newport Beach CA 92659-5848 |
| Practice Telephone | 5623484588 |
| Practice Fax Number | 5624202545 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | EZZAT WADIH WASSEF (GENERAL PARTNER) |
| Authorized Official Telephone | 5626333787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | CB232024 | 01 |
| Other Name | Type Code |
|---|---|
| Lakewood Orthopaedic Surgical & Medical Group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710020755 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712 | 2007-02-15 |
| Street Address |
3828 SCHAUFELE AVE STE 320 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| 1386887354 | Brandon L Kidman | Dental Assistant | 6447 E. Keynote St., Long Beach, CA 90808 | 2009-04-07 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1376860726 | Paws 4 Peds Pt & Ot Pllc | Clinic/Center | 801 E Park Ave, Long Beach, NY 11561-2709 | 2010-04-26 |
| 1851931505 | K Wellness Medical Center Corporation | Clinic/Center | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2020-01-10 |
| 1235696337 | Triumph Treatment LLC | Clinic/Center | 309 W Park Ave, Long Beach, NY 11561-3241 | 2019-02-25 |
| 1457886236 | Orange County Professional Medical Group | Clinic/Center | 4103 N Viking Way, Suite D, Long Beach, CA 90808-1490 | 2017-04-28 |
| 1891039228 | American Cardiocare Medical Center Inc. | Clinic/Center | 1125 Cherry Ave, Long Beach, CA 90813-3911 | 2012-11-26 |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
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| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on LONG BEACH-LAKEWOOD ORTHOPEDIC INSTITUTE.
| 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.