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PORT MEDICAL ASSOCIATE INC NPI 1992935639


NPI Information

NPI: 1992935639
Provider Name: PORT MEDICAL ASSOCIATE INC

Doing Business As: PORT MEDICAL LONG BEACH

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2530 ATLANTIC AVE STE A
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-4598
Get Directions

PORT MEDICAL ASSOCIATE INC is a general practice in Long Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PORT MEDICAL ASSOCIATE INC NPI is 1992935639. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Port Medical Long Beach.

The provider's business location address is:

2530 ATLANTIC AVE STE A
LONG BEACH, CA
ZIP 90806-741
Phone: (562) 426-4598
Fax: (562) 318-3042

The provider's authorized official is Karim A. Soliman .
The authorized official title is Medical Director and has the following contact phone number (562) 426-4598.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 12/18/2013.


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
1208D00000XGeneral PracticeFNP39177CALIFORNIANo
2171100000XAcupuncturistNo
3111N00000XChiropractorNo
4208D00000XGeneral PracticeYes

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
1FNP39177OTHERCALIFORNIAFICTITIOUS NAME PERMIT

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

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