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CONNEXUS FAMILY CLINIC INC NPI 1477025278


NPI Information

NPI: 1477025278
Provider Name: CONNEXUS FAMILY CLINIC INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1930 E. ANAHEIM STREET
N/A
LONG BEACH, CA
ZIP 90813
Phone: (562) 599-2248
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CONNEXUS FAMILY CLINIC INC is an adult medicine family medicine in Long Beach, CA. The provider is definition to come. CONNEXUS FAMILY CLINIC INC NPI is 1477025278. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1930 E. ANAHEIM STREET
N/A
LONG BEACH, CA
ZIP 90813-908
Phone: (562) 599-2248
Fax: (562) 599-8801

The provider's authorized official is Samantha Gooding .
The authorized official title is Cfo and has the following contact phone number (323) 506-9860.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 4/12/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A44667OTHERCALIFORNIAPHYSICIAN LICENSE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.