LILY TE LONG (NPI# 1063800480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063800480 |
| Entity Type | Individual |
| Full Name | LILY TE LONG |
| Credential | RN, MSN, CPNP |
| Practice Address |
2046 Atlantic Ave Long Beach CA 90806-4916 |
| Practice Telephone | 5623556878 |
| Mailing Telephone | 5623556878 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95000468 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2046 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-4916 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1275004145 | Rayveion Laquita Medlock | Nurse Practitioner | 40 Cedar Walk Unit 2115, Long Beach, CA 90802-7922 | 2018-12-17 |
| 1528451820 | Marjorie Buencamino | Nurse Practitioner | 8140 E Token St, Long Beach, CA 90808-3355 | 2015-03-11 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1558619718 | Christina Pearce | Nurse Practitioner | 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 | 2012-08-20 |
| 1538202866 | Regina A. Clifton | Nurse Practitioner | 999 Atlantic Ave, Suite 203, Long Beach, CA 90813-4514 | 2007-02-15 |
| 1578173951 | Candace Cam | Nurse Practitioner | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2020-07-31 |
| 1609404110 | Amber Haney | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2020-03-30 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| 1043878895 | Eileen Heng | Nurse Practitioner | 701 E 28th St Ste 419, Long Beach, CA 90806-2775 | 2019-06-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LILY TE LONG.
| 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.