Eye Physicians Of Long Beach A Medical Group Inc. | |
2925 Palo Verde Ave, Long Beach, CA 90815-1552 | |
(562) 421-2757 | |
(562) 420-7267 |
Full Name | Eye Physicians Of Long Beach A Medical Group Inc. |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2925 Palo Verde Ave, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235231598 | NPI | - | NPPES |
1952369399 | Other | CA | NPI |
1710093083 | Other | CA | NPI |
GR0087220 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT8329TPA (California) | Secondary |
207W00000X | Ophthalmology | A68745 (California) | Primary |
207W00000X | Ophthalmology | G84806 (California) | Secondary |
Provider Name | Lars H Hertzog |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629164454 PECOS PAC ID: 8820066079 Enrollment ID: I20040924000265 |
Provider Name | Randall L Nguyen |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750382008 PECOS PAC ID: 6901848167 Enrollment ID: I20050526001048 |
Provider Name | Arlene M Dolorico |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1861464000 PECOS PAC ID: 4880612258 Enrollment ID: I20051103000813 |
Provider Name | Larry Wayne Freeman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275511396 PECOS PAC ID: 1254349558 Enrollment ID: I20071212000503 |
Provider Name | Donald N Serafano |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144294455 PECOS PAC ID: 9335167949 Enrollment ID: I20101209000772 |
Provider Name | Carlos E Martinez |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710093083 PECOS PAC ID: 3072616572 Enrollment ID: I20110920000120 |
Provider Name | Stephanie Mitchell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619283660 PECOS PAC ID: 9739355298 Enrollment ID: I20120104000599 |
Provider Name | Ajay M Manchandia |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720243082 PECOS PAC ID: 2668635954 Enrollment ID: I20120524000199 |
Provider Name | Roya Ghafouri |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790943355 PECOS PAC ID: 3870618176 Enrollment ID: I20130820000834 |
Provider Name | Akbar Jamall |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679700181 PECOS PAC ID: 3678610045 Enrollment ID: I20131106000715 |
Provider Name | Anne Grattan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972945913 PECOS PAC ID: 9537389903 Enrollment ID: I20141007000910 |
Provider Name | Mai T Pham |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912171703 PECOS PAC ID: 9638320468 Enrollment ID: I20150910002183 |
Provider Name | Jennifer Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891147351 PECOS PAC ID: 2264713106 Enrollment ID: I20170106001832 |
Provider Name | Majid R Moarefi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275890246 PECOS PAC ID: 4880998194 Enrollment ID: I20180914000914 |
Provider Name | Yong Han |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679936660 PECOS PAC ID: 1557792280 Enrollment ID: I20200513003370 |
Provider Name | Cindy Ung |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710305172 PECOS PAC ID: 5496060006 Enrollment ID: I20200716000386 |
Provider Name | Sheila Taj Soltani |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972066843 PECOS PAC ID: 7214357151 Enrollment ID: I20201015000930 |
Provider Name | Lindsey Van |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811587892 PECOS PAC ID: 2860893260 Enrollment ID: I20210623000727 |
Provider Name | Sissi Yuyan He |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649854639 PECOS PAC ID: 0143620088 Enrollment ID: I20230621001670 |
Provider Name | Maltish Lorenzo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760010276 PECOS PAC ID: 7113370099 Enrollment ID: I20240126002162 |
Mailing Address | Practice Location Address |
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Eye Physicians Of Long Beach A Medical Group Inc. 2925 Palo Verde Ave, Long Beach, CA 90815-1552 Ph: (562) 421-2757 | Eye Physicians Of Long Beach A Medical Group Inc. 2925 Palo Verde Ave, Long Beach, CA 90815-1552 Ph: (562) 421-2757 |