OB/GYN UNIVERSITY ASSOCIATES - TODD CANCER INSTITUTE PAVILION LONG BEA (NPI# 1396294286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396294286 |
| Entity Type | Organization |
| Organization Name | OB/GYN UNIVERSITY ASSOCIATES - TODD CANCER INSTITUTE PAVILION LONG BEA |
| Practice Address |
2810 Long Beach Blvd Long Beach CA 90806-1558 |
| Mailing Address |
Po Box 513980 Los Angeles CA 90051-3980 |
| Practice Telephone | 5629332824 |
| Practice Fax Number | 5629332829 |
| Mailing Telephone | 7144566431 |
| Mailing Fax Number | 7144567754 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2810 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967324 | Jonathan B. Blitzer | Specialist | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2006-03-28 |
| 1861973034 | Jamie Marie Balderas | Nurse Practitioner | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2018-08-27 |
| 1306369988 | Molly Kathleen Lehman | Genetic Counselor, MS | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2017-07-25 |
| 1952823460 | Karen Lappen | Genetic Counselor, MS | 2810 Long Beach Blvd, Cancer Risk and Prevention, Long Beach, CA 90806 | 2017-07-17 |
| 1215398755 | Long Beach Memorial Medical | Pharmacy | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2016-03-11 |
| 1902262744 | Deneen Boyce | Nurse Practitioner | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2016-01-09 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538487210 | Image Rx, Inc. | Clinic/Center | 6214 E Pacific Coast Hwy, Long Beach, CA 90803-4867 | 2010-05-05 |
| 1417470261 | Millennium Urology | Clinic/Center | 6226 E Spring St Ste 260, Long Beach, CA 90815-1454 | 2017-07-24 |
| 1073971412 | Cynthia W. Chao, D.o., A Professional Corporation | Clinic/Center | 1703 Termino Ave, Suite 203, Long Beach, CA 90804-2124 | 2016-01-31 |
| 1962870576 | Allergy and Asthma Care Center of Southern California | Clinic/Center | 3816 Woodruff Ave, Suite 209, Long Beach, CA 90808-2147 | 2015-09-14 |
| 1720337397 | Visal Nga Do Inc | Clinic/Center | 1269 E Anaheim St, Long Beach, CA 90813-3709 | 2012-08-29 |
| 1942570577 | Manuel Veloso PC | Clinic/Center | 303 E Park Ave, Long Beach, NY 11561-3600 | 2012-01-12 |
| 1255572699 | Diabetes & Endocrine of Long Beach P.C. | Clinic/Center | 871 E Park Ave, Long Beach, NY 11561-2709 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on OB/GYN UNIVERSITY ASSOCIATES - TODD CANCER INSTITUTE PAVILION LONG BEA.
| 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.