NEW LIFE COMMUNITY MENTAL HEALTH CENTER (NPI# 1699316349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699316349 |
| Entity Type | Organization |
| Organization Name | NEW LIFE COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
1040 Elm Ave Ste 208 Long Beach CA 90813-3266 |
| Mailing Address |
Po Box 93876 Pasadena CA 91109-3876 |
| Practice Telephone | 6267997820 |
| Mailing Telephone | 6267997820 |
| Mailing Fax Number | 6267997820 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MARY L GARCIA (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 6267997820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336563 | New Life Community Mental Health Center | Clinic/Center | 741 Atlantic Ave, Long Beach, CA 90813-4510 | 2017-06-15 |
| Street Address |
1040 ELM AVE STE 208 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772609 | Belmont Shore Wellness Center | Clinic/Center | 5237 E 2nd St, Long Beach, CA 90803-5326 | 2019-10-17 |
| 1326557828 | Broderick Chiropractic Corporation | Clinic/Center | 3816 Woodruff Ave Ste 202, Long Beach, CA 90808-2145 | 2017-09-27 |
| 1912372517 | Richard Kaplan | Clinic/Center | 2235 Vuelta Grande Ave, Long Beach, CA 90815-2354 | 2015-12-08 |
| 1669812392 | The Roads Foundation, Inc | Clinic/Center | 4800 E Los Coyotes Diagonal, Long Beach, CA 90815-2827 | 2013-06-26 |
| 1336443548 | Chok P Wan Md Inc | Clinic/Center | 2153 Pacific Ave, Long Beach, CA 90806-4513 | 2011-01-03 |
| 1962642892 | Van Thuan Phat | Clinic/Center | 825 E Anaheim St, Long Beach, CA 90813-3550 | 2009-03-05 |
| 1053566224 | South Medical Clinic | Clinic/Center | 1530 E. South Street, Long Beach, CA 90805 | 2008-12-01 |
| 1568629103 | West Coast Orthopedics Inc | Clinic/Center | 3325 Palo Verde, Suite 205, Long Beach, CA 90808 | 2008-05-21 |
| 1073703252 | Special Service for Groups | Clinic/Center | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2007-07-25 |
| 1104940584 | Special Service for Groups | Clinic/Center | 1040 E Wardlow Rd, Long Beach, CA 90807-4708 | 2007-03-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on NEW LIFE COMMUNITY MENTAL HEALTH CENTER.
| 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.