KAMAL BIJANPOUR INC NPI 1699118752

NPI Information

NPI: 1699118752
Provider Name: KAMAL BIJANPOUR INC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
3605 LONG BEACH BLVD STE 304
LONG BEACH, CA
ZIP 90807
Phone: (310) 559-5916
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KAMAL BIJANPOUR INC is a psychiatric hospital in Long Beach, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KAMAL BIJANPOUR INC NPI is 1699118752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3605 LONG BEACH BLVD STE 304
LONG BEACH, CA
ZIP 90807-018
Phone: (310) 559-5916
Fax: (310) 559-5466

The provider's authorized official is Kamal Bijanpour .
The authorized official title is Director Of Operations and has the following contact phone number (310) 801-5473.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 5/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry			No
3	282NC0060X	General Acute Care Hospital	Critical Access	A109162	CALIFORNIA	No
4	283Q00000X	Psychiatric Hospital		A109162	CALIFORNIA	Yes
5	305R00000X	Preferred Provider Organization		A109162	CALIFORNIA	No
6	310400000X	Assisted Living Facility		A109162	CALIFORNIA	No
7	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	A109162	CALIFORNIA	No
8	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	A109162	CALIFORNIA	No
9	314000000X	Skilled Nursing Facility		A109162	CALIFORNIA	No
10	315D00000X	Hospice, Inpatient		A109162	CALIFORNIA	No

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	00A1091620	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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