JOAN EASTLACK P.A. NPI 1316284151

NPI Information

  • NPI: 1316284151
  • Provider Name: JOAN EASTLACK, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 432 PANAMA AVE
    LONG BEACH, CA
    ZIP 90814
  • Phone: (562) 961-3831

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NPI Details

Joan Eastlack, P.A. is a medical physician assistant in Long Beach, CA. Joan Eastlack, P.A. NPI is 1316284151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

432 PANAMA AVE
LONG BEACH, CA
ZIP 90814-909
Phone: (562) 961-3831

The enumeration date for this NPI number is 1/14/2013 and was last updated on 1/14/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical14906CALIFORNIAYes

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: 3/30/2025

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