LONG BEACH MEDISPA MANAGEMENT, INC. (NPI# 1932583085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932583085 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEDISPA MANAGEMENT, INC. |
| Practice Address |
2370 Long Beach Blvd Long Beach CA 90806-3260 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 5626120950 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | DAVID S SILVER (PHYSICIAN) |
| Authorized Official Telephone | 5626120950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LONG BEACH MEDISPA MANAGEMENT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G73514 | CA | Suppliers |
| Street Address |
2370 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881834596 | Long Beach Out Pt Surgery Center | Clinic/Center | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2009-02-20 |
| 1851769012 | Justice Rx Group, LLC | Non-Pharmacy Dispensing Site | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023487634 | Kim Foot and Ankle Medical Centers of Long Beach, Inc | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 111, Long Beach, CA 90806-2715 | 2015-09-24 |
| 1952780124 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 821 Pacific Ave, Long Beach, CA 90813-4225 | 2015-05-21 |
| 1265836738 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2014-10-13 |
| 1275792657 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 3932 Long Beach Blvd, B, Long Beach, CA 90807-2615 | 2008-06-02 |
| 1861032708 | K Wellness Medical Center Corporation | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2020-01-08 |
| 1215579222 | Advanced Community Medical Care Corp | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2019-10-10 |
| 1811442601 | Complete Women Care | Non-Pharmacy Dispensing Site | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2016-08-22 |
| 1407213507 | Advanced Foot and Ankle Center, Inc. | Non-Pharmacy Dispensing Site | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1516 | 2016-01-20 |
| 1851769012 | Justice Rx Group, LLC | Non-Pharmacy Dispensing Site | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2015-09-04 |
| 1083017834 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 540 E Artesia Blvd, Long Beach, CA 90805-1476 | 2014-10-07 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LONG BEACH MEDISPA MANAGEMENT, INC..
| 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.