BIXBY LASER CENTER (NPI# 1417496738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496738 |
| Entity Type | Organization |
| Organization Name | BIXBY LASER CENTER |
| Practice Address |
3650 Atlantic Ave Long Beach CA 90807-3418 |
| Practice Telephone | 5628964809 |
| Mailing Telephone | 5628964809 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | ANNA GEVORGYAN (OWNER) |
| Authorized Official Telephone | 5628964809 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1295960508 | 01 |
| Street Address |
3650 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061530 | Ostergard Gynecology & Female Urology Partnership Medical Group | Obstetrics & Gynecology | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2006-09-11 |
| 1134511413 | Advanced Women's Health | Specialist | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2015-02-24 |
| 1295960508 | Anna Gevorgyan | Obstetrics & Gynecology | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2009-05-17 |
| 1669576682 | Donald Roy Ostergard | Obstetrics & Gynecology | 3650 Atlantic Ave, Long Beach, CA 90807-3418 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1750920153 | Soorena Fatehchehr Md Inc | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2020-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
| 1225103831 | Kerrie Lynn Adams | Obstetrics & Gynecology | 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| 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.