JEAN L LAKE (NPI# 1386686673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386686673 |
| Entity Type | Individual |
| Full Name | JEAN L LAKE |
| Credential | M.D. |
| Practice Address |
2880 Atlantic Ave 260 Long Beach CA 90806-1714 |
| Practice Telephone | 5624903580 |
| Practice Fax Number | 5624903584 |
| Mailing Telephone | 5624903580 |
| Mailing Fax Number | 5624903584 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G444387 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2880 ATLANTIC AVE 260 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467411744 | John Paul Cardin Jr. | Obstetrics & Gynecology | 2880 Atlantic Ave, Suite 230, Long Beach, CA 90806-1735 | 2006-03-23 |
| 1386128478 | Mercy Zamora | Physician Assistant | 2880 Atlantic Ave, Long Beach, CA 90806-1714 | 2018-09-24 |
| 1861870008 | Sunaina Sehwani Md A Medical Corporation | Obstetrics & Gynecology | 2880 Atlantic Ave, Suite 290, Long Beach, CA 90806-1714 | 2015-05-07 |
| 1669869111 | Lb Surgical Center LLC | Clinic/Center | 2880 Atlantic Ave, 180, Long Beach, CA 90806-1714 | 2015-04-22 |
| 1164811568 | Jasmin Dao | Pediatrics | 2880 Atlantic Ave, #260, Long Beach, CA 90806 | 2015-01-22 |
| 1043640063 | Cardin Healthcare, A Medical Group, Inc. | Family Medicine | 2880 Atlantic Ave, Suite 170, Long Beach, CA 90806-1714 | 2013-11-13 |
| 1235568486 | Nina Pung | Registered Nurse | 2880 Atlantic Ave, Suite 230, Long Beach, CA 90806-1714 | 2013-11-08 |
| 1447526025 | Karen Ann Gruwell | Physician Assistant | 2880 Atlantic Ave, #200, Long Beach, CA 90806-1714 | 2012-03-28 |
| 1780958165 | Gary A Solomon, Md Inc | Plastic Surgery | 2880 Atlantic Ave, Suite 210, Long Beach, CA 90806-1714 | 2012-03-01 |
| 1326280249 | Judy Rochelle Walker | Registered Nurse | 2880 Atlantic Ave, Ste 255, Long Beach, CA 90806-1714 | 2009-03-25 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548551112 | Saheil Samih Aboutalib | Psychiatry & Neurology | 1045 Atlantic Ave Ste 719, Long Beach, CA 90813-3412 | 2011-04-29 |
| 1356630370 | Parissa Vassef | Psychiatry & Neurology | 701 E 28th St Ste 319, Long Beach, CA 90806-2783 | 2011-03-30 |
| 1609101211 | Mahsa Matloobi | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2009-10-15 |
| 1265486757 | Southland Neurologic Associates of Orange County Inc | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2006-05-20 |
| 1528498409 | Southland Neurologic Institute A Medical Corporation | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2013-11-14 |
| 1124344767 | George C Wang | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2010-04-07 |
| 1972834489 | Swh Naqvi Md PC | Psychiatry & Neurology | 267 Lincoln Blvd, Long Beach, NY 11561-3637 | 2010-01-22 |
| 1225206881 | Haeryong Oh | Psychiatry & Neurology | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2008-02-18 |
| 1821184854 | Selina Parveen | Psychiatry & Neurology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-05 |
| 1629160213 | Marian Victoria Sowa | Psychiatry & Neurology | 5901 E. 7th St., Long Beach, CA 90822 | 2006-09-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on JEAN L LAKE.
| 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.