| Family Clinic Of Long Beach | |
|
1045 Atlantic Ave Suite 708 Long Beach CA 90813-3408 | |
| (562) 491-9045 | |
| (562) 491-9353 |
| Full Name | Family Clinic Of Long Beach |
|---|---|
| Speciality | Clinic/Center |
| Location | 1045 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Sharon Mcnealy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5624919189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic Of Long Beach 1045 Atlantic Ave Suite 708 Long Beach CA 90813-3408 Ph: (562) 491-9045 | Family Clinic Of Long Beach 1045 Atlantic Ave Suite 708 Long Beach CA 90813-3408 Ph: (562) 491-9045 |
| NPI Number | 1962527390 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 2062320559 |
|---|---|
| Medicare Enrollment ID | O20070907000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962527390 | NPI | - | NPPES |
| CMM70774G | Medicaid | CA | |
| 870692255 | Other | CA | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960001055 (California) | Primary |
| Provider Name | Chester Choi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730197344 PECOS PAC ID: 1658464680 Enrollment ID: I20070907000422 |
| Provider Name | Neill D Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073776191 PECOS PAC ID: 2567514607 Enrollment ID: I20090721000141 |
| Provider Name | Sarah J Strube |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124359138 PECOS PAC ID: 1355539297 Enrollment ID: I20101220000825 |
| Provider Name | Hripsime Gharibjanyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186964 PECOS PAC ID: 0143545608 Enrollment ID: I20150204002568 |
| Provider Name | Susan S Wellborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578699484 PECOS PAC ID: 4284951393 Enrollment ID: I20150331000941 |
| Provider Name | Sharareh Shahangian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144508326 PECOS PAC ID: 3173894540 Enrollment ID: I20170802003409 |
| Provider Name | Brian P Rayhanabad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760721443 PECOS PAC ID: 1355696139 Enrollment ID: I20180619002278 |
| Provider Name | Wafa Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992122949 PECOS PAC ID: 4688991011 Enrollment ID: I20181001000482 |
| Provider Name | Manuel Hakimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063873891 PECOS PAC ID: 2668724907 Enrollment ID: I20181015001394 |
| Provider Name | Amisha Nibber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114309457 PECOS PAC ID: 9931411808 Enrollment ID: I20181206003113 |
| Provider Name | Matthew Hakimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433246 PECOS PAC ID: 4284911348 Enrollment ID: I20190123003061 |
| Provider Name | Vishal I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326493438 PECOS PAC ID: 3173853082 Enrollment ID: I20190919000424 |
| Provider Name | Nima Fatehi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699260265 PECOS PAC ID: 3779981121 Enrollment ID: I20211015000005 |
| Provider Name | Christina Tolentino-baldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548780349 PECOS PAC ID: 3678960564 Enrollment ID: I20220422002317 |
| Provider Name | Marian M Varda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861951741 PECOS PAC ID: 6002291739 Enrollment ID: I20220916001669 |
| Provider Name | Sarah H Youkhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275093924 PECOS PAC ID: 8022484930 Enrollment ID: I20221018002100 |
| Provider Name | Debby Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235608316 PECOS PAC ID: 8325415391 Enrollment ID: I20221103001598 |
| Provider Name | Wishanth R Gooneratne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669931564 PECOS PAC ID: 2961870092 Enrollment ID: I20221122000792 |
| Provider Name | Hannaneh Saadaeijahromi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962030973 PECOS PAC ID: 3577923317 Enrollment ID: I20230712002040 |
| Provider Name | Brandon Cole Schmeits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659909174 PECOS PAC ID: 8224453113 Enrollment ID: I20230908001725 |
St John Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3530 Long Beach Blvd Ste 120, Long Beach, CA 90807 Phone: 562-989-1200 | |
Bao Quoc Le Md. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2944 E Anaheim St, Long Beach, CA 90804 Phone: 562-599-5777 Fax: 562-433-2886 | |
Salida Del Sol Ecm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Atlantic Ave, Long Beach, CA 90805 Phone: 562-269-4355 | |
Prohealth Partners, A Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 E San Antonio Dr, Suite 6, Long Beach, CA 90807 Phone: 562-423-6441 Fax: 562-422-1301 | |
Ahf Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 E Pacific Coast Hwy, Long Beach, CA 90804 Phone: 323-436-5019 Fax: 323-337-9142 | |
Housecall Doctors Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Kilroy Airport Way Ste 270, Long Beach, CA 90806 Phone: 949-366-1053 Fax: 949-916-0387 | |
St. Mary's Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Elm Ave Ste 100, Long Beach, CA 90813 Phone: 562-491-2145 Fax: 562-491-0153 |