| Long Beach Neurological Medical Group, Inc. | |
|
2880 Atlantic Ave Suite 260 Long Beach CA 90806-1714 | |
| (562) 426-3319 | |
| (562) 490-3584 |
| Full Name | Long Beach Neurological Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2880 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Perry Robert Lubens (OWNER) |
| Authorized Official Contact | 5624263319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Beach Neurological Medical Group, Inc. Po Box 91567 Long Beach CA 90809-1567 Ph: (562) 225-0178 | Long Beach Neurological Medical Group, Inc. 2880 Atlantic Ave Suite 260 Long Beach CA 90806-1714 Ph: (562) 426-3319 |
| NPI Number | 1891898862 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 10/16/2014 |
| Medicare PECOS PAC ID | 9234292277 |
|---|---|
| Medicare Enrollment ID | O20090116000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891898862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | G32989 (California) | Primary |
| Provider Name | Perry R Lubens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659385664 PECOS PAC ID: 9032272075 Enrollment ID: I20120213000639 |
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