MIRAMINDS MEDICAL AID (NPI# 1770190480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770190480 |
| Entity Type | Organization |
| Organization Name | MIRAMINDS MEDICAL AID |
| Practice Address |
5199 E Pacific Coast Hwy Ste 330n Long Beach CA 90804-3353 |
| Mailing Address |
15909 S Orchard Ave Gardena CA 90247-4545 |
| Practice Telephone | 4243727860 |
| Practice Fax Number | 5752050309 |
| Mailing Telephone | 3107702057 |
| Mailing Fax Number | 5752050309 |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | PAMELA A YUNGA (CEO) |
| Authorized Official Telephone | 4243727860 |
| Authorized Official Credential | DNP, PMHNP-BC, A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
5199 E PACIFIC COAST HWY STE 330N |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508830589 | Lilly I Kao | Psychiatry & Neurology | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2006-02-15 |
| 1003439878 | Corrine Julia Zavala | Marriage & Family Therapist | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2020-05-27 |
| 1124529466 | Advances In Mental Health & Addictions Treatment Ctr | Clinic/Center | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2018-02-22 |
| 1285986729 | Jenna Samuels | Marriage & Family Therapist | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2012-10-08 |
| 1700134988 | Pamela Akwi Yunga | Nurse Practitioner | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428089 | Che Ajal Family Counseling Center Inc. | Clinic/Center | 250 W Ocean Blvd Apt 1201, Long Beach, CA 90802-7940 | 2020-05-12 |
| 1902336563 | New Life Community Mental Health Center | Clinic/Center | 741 Atlantic Ave, Long Beach, CA 90813-4510 | 2017-06-15 |
| 1154337426 | Los Angeles County Department of Mental Health | Clinic/Center | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2006-07-31 |
| 1427062504 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2006-07-27 |
| 1154342814 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2006-07-21 |
| 1346726221 | Children's Institute, Inc. | Clinic/Center | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2018-07-13 |
| 1164945069 | Mireille Millet | Clinic/Center | 1950 E 5th St, Long Beach, CA 90802-2023 | 2017-07-23 |
| 1265960512 | Love and Light Couseling Services | Clinic/Center | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807 | 2017-05-31 |
| 1114300365 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2015-07-07 |
| 1629471529 | Family Mental Health | Clinic/Center | 126 E Park Ave, Long Beach, NY 11561-3510 | 2014-10-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on MIRAMINDS MEDICAL AID.
| 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.