PRECISION MEDICINE (NPI# 1801393475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801393475 |
| Entity Type | Organization |
| Organization Name | PRECISION MEDICINE |
| Practice Address |
1045 Atlantic Ave Ste 819 Long Beach CA 90813-3410 |
| Mailing Address |
5 Ringbit Rd W Rolling Hills CA 90274-5241 |
| Practice Telephone | 5624355621 |
| Mailing Telephone | 3105445756 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | SUSAN SLEEP (PRESIDENT) |
| Authorized Official Telephone | 5622094442 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3742 Katella Ave Ste 302, Los Alamitos, CA 907203172 | 5629360292 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRECISION MEDICINE FACILITIES, L.L.C. | 445 N. Fifth St, Phoenix, AZ 85004-2157 |
| New York State Corporations | PRECISION MEDICINE INSIGHTS, P.C. | 3 Forest Lane, Great Neck, New York 11024 |
| Oregon Corporations, Companies and Business Names | PRECISION MEDICINE, INC. | 14631 Sw Millikan Way Ste 10, Beaverton, OR 97003 |
| Iowa Business Entities | PRECISION MEDICINE, INC. | 1530 Bluff Rd, Burlington, IA 52601 |
| Oregon Corporations, Companies and Business Names | PRECISION MEDICINE, LLC | 144 Sw Frenwood Way, Beaverton, OR 97005 |
| Street Address |
1045 ATLANTIC AVE STE 819 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225068984 | Douglas Kent Ulmer | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2006-07-05 |
| 1134785785 | James Wu Md Inc | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2019-05-18 |
| 1508353657 | Ulmersleepdermatologyinc | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2018-04-14 |
| 1851711345 | James Guolin Wu | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813 | 2014-04-23 |
| 1366783649 | Amy M. Reinstadler, M.d., Inc | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2013-03-11 |
| 1437388147 | Amy Marie Reinstadler | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801335815 | Misha Max Heller, M.d., A Professional Medical Corporation | Dermatology | 1760 Termino Ave Ste 114, Long Beach, CA 90804-2169 | 2017-02-23 |
| 1164688230 | Nancy J Samolitis | Dermatology | 3736 Atlantic Ave, Suite 101, Long Beach, CA 90807-3492 | 2008-07-29 |
| 1356567937 | Touradj Farhadi | Dermatology | 2630 Pacific Ave, Long Beach, CA 90806-2611 | 2007-04-18 |
| 1053463760 | Robert Mitchell Miller | Dermatology | 3325 Palo Verde Ave #107, Long Beach, CA 90808-4132 | 2007-01-16 |
| 1710068556 | Richard Gardner Williams | Dermatology | 5901 E Seventh St, Radiation Oncology 114a, Long Beach, CA 90822-5201 | 2006-10-18 |
| 1629169396 | Keith William Mcgill | Dermatology | 150 S Pico Ave, 14342 Bora Dr La Mirada 90638, Long Beach, CA 90802 | 2006-09-27 |
| 1023118205 | Alan Wm Heller | Dermatology | 1760 Termino Ave #114, Long Beach, CA 90804 | 2006-09-25 |
| 1225068984 | Douglas Kent Ulmer | Dermatology | 1045 Atlantic Ave Ste 819, Long Beach, CA 90813-3410 | 2006-07-05 |
| 1689621807 | Robert M Miller Md Inc | Dermatology | 3325 Palo Verde Ave, 107, Long Beach, CA 90808 | 2006-05-31 |
| 1619946779 | Anh-dao Vu Le | Dermatology | 1024 E Pacific Coast Hwy, Long Beach, CA 90806-5017 | 2006-03-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.