IGENOME, INC.


Address: 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002
Phone: 2678962176

IGENOME, INC. (NPI# 1689294241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689294241
Entity Type Organization
Organization Name IGENOME, INC.
Practice Address 1 World Trade Ctr Fl 8
Long Beach
CA 90831-0002
Mailing Address 1835 Chestnut St Apt 3r
Philadelphia
PA 19103-3702
Practice Telephone 2678962176
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Authorized Official Name YU SONG (PHARMACIST-IN-CHARGE)
Authorized Official Telephone 2678962176
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 291U00000X Clinical Medical Laboratory Laboratories
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers
N 333600000X Pharmacy Suppliers
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
iGenome Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871113431 Igenome, Inc. Medical Genetics 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1104446798 Igenome, Inc. Pharmacy 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1770102105 Igenome, Inc. Internal Medicine 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-15

Office Location

Street Address 1 WORLD TRADE CTR FL 8
City LONG BEACH
State CA
Zip Code 90831-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538498548 Yu Song Pharmacist 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2009-12-22
1871113431 Igenome, Inc. Medical Genetics 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1104446798 Igenome, Inc. Pharmacy 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-23
1770102105 Igenome, Inc. Internal Medicine 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 2020-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366683096 Lvn/inhome Care Nursing Private Vehicle 1 World Trade Ctr, Suite 800, Long Beach, CA 90831-0002 2009-03-09
1023430717 Providence Community Services Social Worker 1 World Trade Ctr, 8th. Floor, Long Beach, CA 90831-0002 2014-01-14

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235772609 Belmont Shore Wellness Center Clinic/Center 5237 E 2nd St, Long Beach, CA 90803-5326 2019-10-17
1699316349 New Life Community Mental Health Center Clinic/Center 1040 Elm Ave Ste 208, Long Beach, CA 90813-3266 2019-10-03
1326557828 Broderick Chiropractic Corporation Clinic/Center 3816 Woodruff Ave Ste 202, Long Beach, CA 90808-2145 2017-09-27
1912372517 Richard Kaplan Clinic/Center 2235 Vuelta Grande Ave, Long Beach, CA 90815-2354 2015-12-08
1669812392 The Roads Foundation, Inc Clinic/Center 4800 E Los Coyotes Diagonal, Long Beach, CA 90815-2827 2013-06-26
1336443548 Chok P Wan Md Inc Clinic/Center 2153 Pacific Ave, Long Beach, CA 90806-4513 2011-01-03
1962642892 Van Thuan Phat Clinic/Center 825 E Anaheim St, Long Beach, CA 90813-3550 2009-03-05
1053566224 South Medical Clinic Clinic/Center 1530 E. South Street, Long Beach, CA 90805 2008-12-01
1568629103 West Coast Orthopedics Inc Clinic/Center 3325 Palo Verde, Suite 205, Long Beach, CA 90808 2008-05-21
1073703252 Special Service for Groups Clinic/Center 2501 Atlantic Ave, Long Beach, CA 90806-2708 2007-07-25
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Competitor

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City LONG BEACH
Zip Code 90831

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Dataset Information

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.

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