ORANGE COUNTY PROFESSIONAL MEDICAL GROUP (NPI# 1457886236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457886236 |
| Entity Type | Organization |
| Organization Name | ORANGE COUNTY PROFESSIONAL MEDICAL GROUP |
| Practice Address |
4103 N Viking Way Suite D Long Beach CA 90808-1490 |
| Practice Telephone | 7146006760 |
| Practice Fax Number | 7149359559 |
| Mailing Telephone | 7146006760 |
| Mailing Fax Number | 7149359559 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | DR. HOLLY SATA (PRESIDENT) |
| Authorized Official Telephone | 7146006760 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
G71823 | CA | Ambulatory Health Care Facilities |
| Street Address |
4103 N VIKING WAY SUITE D |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667600 | Mary Shannon Ludloff | Physical Therapist | 4103 N Viking Way, Ste C, Long Beach, CA 90808-1490 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1235696337 | Triumph Treatment LLC | Clinic/Center | 309 W Park Ave, Long Beach, NY 11561-3241 | 2019-02-25 |
| 1891039228 | American Cardiocare Medical Center Inc. | Clinic/Center | 1125 Cherry Ave, Long Beach, CA 90813-3911 | 2012-11-26 |
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| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on ORANGE COUNTY PROFESSIONAL MEDICAL GROUP.
| 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.