ULTIMATE HEALTH MEDICAL SERVICES LLC. A CALIFORNIA LIABILITY COMPANY NPI 1396260063

NPI Information

NPI: 1396260063
Provider Name: ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY
Classification: Internal Medicine - 207RI0001X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

CLIA Number: 05D2148675

Address:
2800 PACIFIC AVE STE D
LONG BEACH, CA
ZIP 90806
Phone: (562) 337-8401
Get Directions

ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY is a clinical and laboratory immunology internal medicine in Long Beach, CA. The provider is an internal medicine physician who specializes in clinical and laboratory immunology disease management. ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY NPI is 1396260063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 PACIFIC AVE STE D
LONG BEACH, CA
ZIP 90806-468
Phone: (562) 337-8401
Fax: (562) 337-8404

The provider's authorized official is Bertha Alicia Rosas .
The authorized official title is Office Manager and has the following contact phone number (562) 337-8401.

The CLIA number assigned to this NPI record is 05D2148675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0001X	Internal Medicine	Clinical & Laboratory Immunology	A60718	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	193200000X	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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