| Hospitalist Medicine Physicians Of California - Stockton Ii, Pc | |
|
2801 Atlantic Ave Long Beach CA 90806-1701 | |
| (562) 933-2000 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of California - Stockton Ii, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Kelli Queen (DIRECTOR) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of California - Stockton Ii, Pc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of California - Stockton Ii, Pc 2801 Atlantic Ave Long Beach CA 90806-1701 Ph: (562) 933-2000 |
| NPI Number | 1720639032 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 09/27/2019 |
| Medicare PECOS PAC ID | 5799119293 |
|---|---|
| Medicare Enrollment ID | O20191216001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720639032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yasser Farrag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694475 PECOS PAC ID: 8123049145 Enrollment ID: I20051216000787 |
| Provider Name | Vinaya Konduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451282 PECOS PAC ID: 2163458464 Enrollment ID: I20090926000097 |
| Provider Name | Liana Diants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619105608 PECOS PAC ID: 2860539749 Enrollment ID: I20091026000516 |
| Provider Name | Mojtaba Sabahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205881091 PECOS PAC ID: 4880584861 Enrollment ID: I20101028000456 |
| Provider Name | Rasam M Hosseinian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326092834 PECOS PAC ID: 9638107659 Enrollment ID: I20101222000652 |
| Provider Name | Mina Shakiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427329119 PECOS PAC ID: 3375867500 Enrollment ID: I20150119000005 |
| Provider Name | Jasmin Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023449881 PECOS PAC ID: 6608190442 Enrollment ID: I20150127000010 |
| Provider Name | Linda Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881090330 PECOS PAC ID: 3577880806 Enrollment ID: I20150326000873 |
| Provider Name | Julio C Romero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245620731 PECOS PAC ID: 5092001958 Enrollment ID: I20160901002246 |
| Provider Name | Laila Nobakht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730571373 PECOS PAC ID: 4385923705 Enrollment ID: I20161107002667 |
| Provider Name | Elizabeth Morales Bayaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801335534 PECOS PAC ID: 6709156433 Enrollment ID: I20170727003321 |
| Provider Name | Fathima Zahra Kamil Faiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972919355 PECOS PAC ID: 3779859509 Enrollment ID: I20171024000738 |
| Provider Name | Kristina L Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467968560 PECOS PAC ID: 8022379072 Enrollment ID: I20180307002665 |
| Provider Name | Suzette S Mcbrayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871008276 PECOS PAC ID: 8729343157 Enrollment ID: I20180605002233 |
| Provider Name | Megan Lindsay Brenner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831373851 PECOS PAC ID: 4880749191 Enrollment ID: I20180919000661 |
| Provider Name | Kathryn Schat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841265378 PECOS PAC ID: 7719992551 Enrollment ID: I20190404000676 |
| Provider Name | Jill C Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083722540 PECOS PAC ID: 1052653219 Enrollment ID: I20190508003307 |
| Provider Name | Sanam M Pournaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447607551 PECOS PAC ID: 5991099889 Enrollment ID: I20191204000323 |
| Provider Name | Kim R West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861748774 PECOS PAC ID: 2567723810 Enrollment ID: I20200806001935 |
| Provider Name | Devin E Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831543156 PECOS PAC ID: 2365868379 Enrollment ID: I20200820001064 |
| Provider Name | Ghazal Kooshk Jalali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843571 PECOS PAC ID: 2466722103 Enrollment ID: I20201028003046 |
| Provider Name | Hamid Modarres Mousavi Behbahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285123778 PECOS PAC ID: 5799020038 Enrollment ID: I20210921001317 |
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