Port Medical Long Beach is a
General Practice based in Long Beach, California. Port Medical Long Beach is licensed to practice in * (Not Available) (license number ) and their current practice location is
2530 Atlantic Ave Ste A, Long Beach, California. It can be reached at their office (for appointments etc.) via phone at
(562) 426-4598.
NPI number for Port Medical Long Beach is 1992935639 and their current mailing address is Po Box 6200, Long Beach, California. Port Medical Long Beach
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992935639.
Healthcare Provider's Profile
| Full Name | Port Medical Long Beach |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
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| Location | 2530 Atlantic Ave Ste A, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992935639
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 12/18/2013
Medical Identifiers
Medical identifiers for Port Medical Long Beach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992935639 | NPI | - | NPPES |
| FNP39177 | Other | CA | FICTITIOUS NAME PERMIT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | FNP39177 (California) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Port Medical Long Beach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Port Medical Long Beach
Po Box 6200,
Long Beach, CA 90806
Ph: (562) 426-4598 | Port Medical Long Beach
2530 Atlantic Ave Ste A,
Long Beach, CA 90806-2741
Ph: (562) 426-4598 |
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