SOUTH CERRITOS MEDICAL GROUP, INC. (NPI# 1952526675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952526675 |
Entity Type | Organization |
Organization Name | SOUTH CERRITOS MEDICAL GROUP, INC. |
Practice Address |
20927 Norwalk Blvd Lakewood CA 90715-1545 |
Mailing Address |
13381 Silver Berry Cir Cerritos CA 90703-1374 |
Practice Telephone | 5628091434 |
Practice Fax Number | 5628091526 |
Mailing Telephone | 5628091434 |
Mailing Fax Number | 5628091526 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. CONCHITA YATAR GOINGS (PHYSICIAN) |
Authorized Official Telephone | 5628091434 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | A41071 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | A41071 | 01 |
CA | GROUP NUMBER | W13073 | 01 |
Street Address |
20927 NORWALK BLVD |
City | LAKEWOOD |
State | CA |
Zip Code | 90715-1545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346429255 | Conchita Y Goings | Family Medicine | 20927 Norwalk Blvd, Lakewood, CA 90715-1545 | 2007-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
Find all providers in zip 90715 |
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). |
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1467943548 | Muveology Corporation | Clinic/Center | 8790 W Colfax Ave Ste 10, Lakewood, CO 80215-4025 | 2018-05-23 |
1528566205 | Choice Counseling & Recovery LLC | Clinic/Center | 7585 W Arkansas Ave Ste 207, Lakewood, CO 80232-5425 | 2018-01-26 |
1174988802 | My Care Urgent Care LLC | Clinic/Center | 108 Hillside Blvd, Lakewood, NJ 08701-3148 | 2015-12-23 |
1992187553 | Colorado Optimal Health | Clinic/Center | 200 Union Blvd Ste 430, Lakewood, CO 80228-1832 | 2015-06-19 |
1295997153 | Ace Counseling LLC | Clinic/Center | 959 S Saulsbury St, Lakewood, CO 80226-4513 | 2008-07-01 |
1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
1568002137 | Cleveland Performance Chiropractic, LLC | Clinic/Center | 15713 Detroit Ave, Lakewood, OH 44107-3709 | 2020-01-13 |
1699271221 | Sound Body Chiropractic and Wellness LLC | Clinic/Center | 12792 W Alameda Pkwy Ste E, Lakewood, CO 80228-2846 | 2018-04-03 |
1699276980 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 355 Union Blvd, 100, Lakewood, CO 80228-1500 | 2018-02-22 |
1912416439 | Theraflex, LLC | Clinic/Center | 317 Cottage Pl, Lakewood, NJ 08701-3420 | 2017-09-27 |
Find all providers in LAKEWOOD |
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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.