LONG BEACH-LAKEWOOD ORTHOPEDIC INSTITUTE (NPI# 1710020755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710020755 |
| Entity Type | Organization |
| Organization Name | LONG BEACH-LAKEWOOD ORTHOPEDIC INSTITUTE |
| Other Organization Name | LAKEWOOD ORTHOPAEDIC SURGICAL & MEDICAL GROUP |
| Practice Address |
5750 Downey Ave Ste 308 Lakewood CA 90712 |
| Mailing Address |
Po Box 15848 Newport Beach CA 92659-5848 |
| Practice Telephone | 5626333787 |
| Practice Fax Number | 5626331977 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | DR. 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 | GR0066890 | 05 |
| Other Name | Type Code |
|---|---|
| Lakewood Orthopaedic Surgical & Medical Group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| Street Address |
5750 DOWNEY AVE STE 308 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427063197 | Ezzat Wadih Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-07-30 |
| 1063058436 | Zachary Noble Stone | Physician Assistant | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2019-11-20 |
| 1750859302 | Jason Matthew Janoian | Physician Assistant | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2018-11-12 |
| 1568809226 | Richard Sung Ahn | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2013-06-03 |
| 1982848099 | Andrew Jonathan Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2009-04-21 |
| 1205925468 | Christopher John Combs | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-10-12 |
| 1437165362 | Ramy Elias | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
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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.