CENTINELA MEDICAL CENTER OF SOUTH BAY INC. NPI 1912219635

NPI Information

NPI: 1912219635
Provider Name: CENTINELA MEDICAL CENTER OF SOUTH BAY INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1125 CHERRY AVE
LONG BEACH, CA
ZIP 90813
Phone: (562) 591-1111
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CENTINELA MEDICAL CENTER OF SOUTH BAY INC. is a multi-specialty clinic center in Long Beach, CA. CENTINELA MEDICAL CENTER OF SOUTH BAY INC. NPI is 1912219635. The provider is registered as an organization entity type.

The provider's business location address is:

1125 CHERRY AVE
LONG BEACH, CA
ZIP 90813-911
Phone: (562) 591-1111

The provider's authorized official is Jerry A. Okonkwoaguolu .
The authorized official title is Medical Director and has the following contact phone number (562) 591-1111.

The enumeration date for this NPI number is 7/10/2010 and was last updated on 3/31/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	FNP40289	CALIFORNIA	No
2	261QU0200X	Clinic/Center	Urgent Care	FNP40289	CALIFORNIA	No
3	261QM1300X	Clinic/Center	Multi-Specialty	FNP40289	CALIFORNIA	Yes

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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