Dr Miguel Oportot, PHD | |
6615 E Pacific Coast Hwy, #255, Long Beach, CA 90803-4211 | |
(562) 799-6700 | |
(562) 799-6733 |
Full Name | Dr Miguel Oportot |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 6615 E Pacific Coast Hwy, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568405538 | NPI | - | NPPES |
PSY206920 | Other | CA | MEDI-CAL |
1994437 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY20692 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Miguel Oportot, PHD 6615 E Pacific Coast Hwy, #255, Long Beach, CA 90803-4211 Ph: (562) 799-6700 | Dr Miguel Oportot, PHD 6615 E Pacific Coast Hwy, #255, Long Beach, CA 90803-4211 Ph: (562) 799-6700 |
Tracie Temple, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 411 W Seaside Way Unit 1403, Long Beach, CA 90802 Phone: 562-595-3099 | |
Rosa Maria Colonna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 Long Beach Blvd # 228, Long Beach, CA 90807 Phone: 818-632-2895 | |
Dr. Sandra Michelle Hardy, PSY.D., M.F.T. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3939 Atlantic Ave Ste 108, Long Beach, CA 90807 Phone: 562-673-8817 | |
Dr. Maribel Garcia, PYSD Psychologist Medicare: Medicare Enrolled Practice Location: 115 Pine Ave Ste 440, Long Beach, CA 90802 Phone: 562-432-0089 | |
Dr. Lori Susan Katz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St # 116b, Long Beach, CA 90822 Phone: 562-826-8000 | |
Dr. Barry J Rabin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, (116b), Long Beach, CA 90822 Phone: 562-826-8000 Fax: 562-826-5679 | |
Dr. Mindy Mueller, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1301 Pine Ave, Long Beach, CA 90813 Phone: 562-216-1713 Fax: 562-981-7569 |