WILLOW MEDICAL GROUP (NPI# 1013943000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013943000 |
| Entity Type | Organization |
| Organization Name | WILLOW MEDICAL GROUP |
| Practice Address |
3311 E Willow St Long Beach CA 90806 |
| Practice Telephone | 5624244976 |
| Practice Fax Number | 5624245960 |
| Mailing Telephone | 5624244976 |
| Mailing Fax Number | 5624245960 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | LAWRENCE J DOMARACKI (CO-OWNER DC) |
| Authorized Official Telephone | 5624244976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G59739 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A38436 | CA | Allopathic & Osteopathic Physicians |
| Y | 111N00000X | Chiropractor | DC 20570 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050119 | Willow Medical Group | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-04-12 |
| Street Address |
3311 E WILLOW ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050119 | Willow Medical Group | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-04-12 |
| 1134274244 | Dorothy Dalinoc Ulit | Physical Therapist | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-01-25 |
| 1699821785 | My-anh Cong-huyen Casner | Physical Therapist | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-01-25 |
| 1962557942 | Agency Rehab, Inc. | Clinic/Center | 3311 E Willow St, Long Beach, CA 90806-2310 | 2007-01-23 |
| 1679635700 | Carla Dawn Scheel | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2006-12-14 |
| 1962587493 | Robb Russell | Chiropractor | 3311 E Willow St, Long Beach, CA 90806-2310 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1386279933 | Michael P Majancsik, Dc, PC | Chiropractor | 3620 Long Beach Blvd Ste C8, Long Beach, CA 90807-6013 | 2020-03-04 |
| 1679105746 | Elidge Demete Anderson | Chiropractor | 272 E 69th Way, Long Beach, CA 90805-1240 | 2020-02-06 |
| 1013550409 | Impact Chiropractic, Smith Chiropractic Inc. | Chiropractor | 6621 E Pacific Coast Hwy Ste 120, Long Beach, CA 90803-4244 | 2019-10-18 |
| 1336618305 | Hanin Hawatmeh, D.c. A Professional Chiropractic Corporation | Chiropractor | 3701 Long Beach Blvd Ste 301, Long Beach, CA 90807-3346 | 2018-11-19 |
| 1487123675 | Adriana Lazare | Chiropractor | 18 Tennessee Ave, Long Beach, NY 11561-1320 | 2018-11-16 |
| 1730658022 | Enya Katz | Chiropractor | 4110 Elm Ave Apt 301, Long Beach, CA 90807-2737 | 2018-11-16 |
| 1225516206 | Ashley N Bruley | Chiropractor | 1945 Palo Verde Ave Ste 100, Long Beach, CA 90815-3444 | 2018-08-01 |
| 1659866259 | Esteban Sandoval | Chiropractor | 4195 N Viking Way Ste F, Long Beach, CA 90808-1470 | 2018-06-26 |
| 1174012116 | Morgan Turner | Chiropractor | 3950 Long Beach Blvd Ste 104, Long Beach, CA 90807-5410 | 2018-05-04 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on WILLOW MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.