| Coast Psychiatric Associates | |
|
1650 Ximeno Ave Ste 230 Long Beach CA 90804-2185 | |
| (562) 494-3633 | |
| (562) 498-0917 |
| Full Name | Coast Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1650 Ximeno Ave Ste 230, Long Beach, California |
| Authorized Official Name and Position | Ronald T Silverstein (PRESIDENT) |
| Authorized Official Contact | 5624943633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Psychiatric Associates 1650 Ximeno Ave Ste 230 Long Beach CA 90804-2185 Ph: (562) 494-3633 | Coast Psychiatric Associates 1650 Ximeno Ave Ste 230 Long Beach CA 90804-2185 Ph: (562) 494-3633 |
| NPI Number | 1962625590 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375730815 |
|---|---|
| Medicare Enrollment ID | O20101209000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962625590 | NPI | - | NPPES |
| GR0000820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Charles Mark Carlstroem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134207475 PECOS PAC ID: 8820285372 Enrollment ID: I20101209000346 |
| Provider Name | Roger John Epstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053499384 PECOS PAC ID: 8628265105 Enrollment ID: I20101209000628 |
| Provider Name | Ronald Silverstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528146834 PECOS PAC ID: 3274720719 Enrollment ID: I20101209000689 |
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