CITY OF ANGELS DERMATOLOGY INC (NPI# 1710385901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710385901 |
| Entity Type | Organization |
| Organization Name | CITY OF ANGELS DERMATOLOGY INC |
| Practice Address |
2888 Long Beach Blvd Ste 325 Long Beach CA 90806-7503 |
| Mailing Address |
4712 Admiralty Way # 665 Marina Del Rey CA 90292-6905 |
| Practice Telephone | 5623660300 |
| Practice Fax Number | 5623667525 |
| Mailing Telephone | 5623660300 |
| Mailing Fax Number | 5623667525 |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |
| Authorized Official Name | DR. MAVIS BILLIPS (DIRECTOR) |
| Authorized Official Telephone | 3106518240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLM 000346987 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992103188 | City of Angels Dermatology Inc | Clinical Medical Laboratory | 435 N Roxbury Dr Ste 207, Beverly Hills, CA 90210-5004 | 2014-12-20 |
| Street Address |
2888 LONG BEACH BLVD STE 325 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-7503 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642564 | Foundation Labs LLC | Clinical Medical Laboratory | 701 E 28th St Ste 317, Long Beach, CA 90806-2702 | 2019-01-03 |
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1396151643 | Julia Alcantar | Clinical Medical Laboratory | 2042 E Appleton St, Long Beach, CA 90803-5702 | 2014-07-08 |
| 1043238090 | Unilab Corporation | Clinical Medical Laboratory | 1045 S Atlantic Ave, Ste 507, Long Beach, CA 90813-3414 | 2006-07-18 |
| 1396779567 | American Sleep Diagnostics LLC | Clinical Medical Laboratory | 106 Willow Creek Dr, Long Beach, MS 39560-3311 | 2006-07-11 |
| 1336100759 | La Good Samaritan Pathology Medical Group, Inc. | Clinical Medical Laboratory | 2777 Pacific Ave, Suite H201& I202, Long Beach, CA 90806-2625 | 2006-03-28 |
| 1689294241 | Igenome, Inc. | Clinical Medical Laboratory | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1407218886 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2840 Long Beach Blvd, Suite 430, Long Beach, CA 90806-1516 | 2016-03-24 |
| 1053787432 | Long Beach Memorial Pathology Medical Group Inc. | Clinical Medical Laboratory | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-08-19 |
| 1760858146 | Long Beach Memorial Pathology Medical Group | Clinical Medical Laboratory | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2015-08-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.