PEARLMAN D. HICKS, JR., M.D., INC (NPI# 1578789046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578789046 |
Entity Type | Organization |
Organization Name | PEARLMAN D. HICKS, JR., M.D., INC |
Practice Address |
2360 Long Beach Blvd Long Beach CA 90806-3260 |
Practice Telephone | 5625959493 |
Practice Fax Number | 5625959837 |
Mailing Telephone | 5625959493 |
Mailing Fax Number | 5625959837 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2010-09-24 |
Authorized Official Name | MS. MICHELLE MARTINEZ (OFFICE MANAGER) |
Authorized Official Telephone | 5625959493 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | G39324 | CA | Allopathic & Osteopathic Physicians |
N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
G39324 | CA | Allopathic & Osteopathic Physicians |
N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
G39324 | CA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | G39324 | CA | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
G39324 | CA | Allopathic & Osteopathic Physicians |
N | 204E00000X | Oral & Maxillofacial Surgery | G39324 | CA | Allopathic & Osteopathic Physicians |
N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
G39324 | CA | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G39324 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2360 LONG BEACH BLVD |
City | LONG BEACH |
State | CA |
Zip Code | 90806-3260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215966809 | Pearlman David Hicks Jr. | Oral & Maxillofacial Surgery | 2360 Long Beach Blvd, Long Beach, CA 90806-3260 | 2006-07-03 |
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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942465299 | Sean J Darcy | Surgery | 2201 N Lakewood Blvd, Ste D264, Long Beach, CA 90815-2552 | 2008-07-26 |
1528164126 | Ikonija Sekulovich Joy | Surgery | 920 E Wardlow Rd, Long Beach, CA 90807-4630 | 2006-09-15 |
1508271263 | David Dorfman Md Inc | Surgery | 6226 E Spring St Ste 380, Long Beach, CA 90815-1444 | 2014-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90806 |
Please comment or provide details below to improve the information on PEARLMAN D. HICKS, JR., M.D., INC.
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.