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LONG BEACH NEUROLOGICAL MEDICAL GROUP INC. NPI 1891898862


NPI Information

NPI: 1891898862
Provider Name: LONG BEACH NEUROLOGICAL MEDICAL GROUP, INC.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
2880 ATLANTIC AVE
SUITE 260
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-3319
Get Directions

LONG BEACH NEUROLOGICAL MEDICAL GROUP, INC. is a neurology with special qualifications in child neurology psychiatry neurology in Long Beach, CA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. LONG BEACH NEUROLOGICAL MEDICAL GROUP, INC. NPI is 1891898862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2880 ATLANTIC AVE
SUITE 260
LONG BEACH, CA
ZIP 90806-714
Phone: (562) 426-3319
Fax: (562) 490-3584

The provider's authorized official is Perry Robert Lubens .
The authorized official title is Owner and has the following contact phone number (562) 426-3319.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 10/16/2014.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyG32989CALIFORNIAYes

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
1A45376MEDICARE UPINCALIFORNIA

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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