GREAT LIFE MEDICAL PC (NPI# 1396357513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396357513 |
| Entity Type | Organization |
| Organization Name | GREAT LIFE MEDICAL PC |
| Practice Address |
1777 N Bellflower Blvd Ste 109 Long Beach CA 90815-4019 |
| Practice Telephone | 5624984455 |
| Practice Fax Number | 5624984499 |
| Mailing Telephone | 5624984455 |
| Mailing Fax Number | 5624984499 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. MICHELLE ZARZANA (OWNER) |
| Authorized Official Telephone | 5624984455 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1777 N BELLFLOWER BLVD STE 109 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932348547 | Zarzana Chiropractic, Inc. | Chiropractor | 1777 N Bellflower Blvd Ste 109, Long Beach, CA 90815-4019 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1912151192 | Bergerette Saint-victor | Clinic/Center | 127 W 7th St, Long Beach, CA 90813-4344 | 2008-11-14 |
| 1346717550 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 100 Oceangate Ste P245, Long Beach, CA 90802-4349 | 2018-10-25 |
| 1578075149 | Custom Anesthesia and Nursing Services, Inc | Clinic/Center | 1127 Loma Ave, Long Beach, CA 90804-4008 | 2017-11-03 |
| 1093249633 | Ibalanceme | Clinic/Center | 5544 E 2nd St, Long Beach, CA 90803-3924 | 2017-04-19 |
| 1205281078 | Long Beach Community College District | Clinic/Center | 4901 E Carson St, A1010, Long Beach, CA 90808-1706 | 2016-04-29 |
| 1801219936 | Flaviano Estrella | Clinic/Center | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2014-01-24 |
| 1912265984 | Us Healthworks | Clinic/Center | 1919 E Beverly Way, #210, Long Beach, CA 90802-2068 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| 1356979215 | Jr Anesthesia Inc | Clinic/Center | 2327 Journey St, Chula Vista, CA 91915-2440 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on GREAT LIFE MEDICAL PC.
| 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.