Jean L Lake (NPI# 1386686673, PAC ID# 2264528728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1386686673 |
| PAC ID by PECOS | 2264528728 |
| Professional Enrollment ID | I20111228000248 |
| Full Name | Jean L Lake |
| Organization Legal Name | ADULT AND CHILD NEUROLOGY MEDICAL ASSOCIATES INC |
| Address |
2880 Atlantic Ave Suite 260 Long Beach CA 90806-1716 |
| Phone Number | 5624903580 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1355437914 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 Newport Blvd, Suite 235, Costa Mesa, CA 92627-2281 | 5624903580 | ADULT AND CHILD NEUROLOGY MEDICAL ASSOCIATES INC |
| 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 | 5624903580 | ADULT AND CHILD NEUROLOGY MEDICAL ASSOCIATES INC |
| Organization Legal Name | ADULT AND CHILD NEUROLOGY MEDICAL ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thanh T Le | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| Nicole H Cobo | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| Mary K Dyes | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| Street Address |
2880 ATLANTIC AVE SUITE 260 |
| City | LONG BEACH |
| State | CA |
| Zip | 90806-1716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thanh T Le | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| John P. Cardin Jr. | Family Medicine | 2880 Atlantic Ave, Suite 230, Long Beach, CA 90806-1735 | |
| Nicole H Cobo | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| Perry R Lubens | Neurology | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 | |
| Mary K Dyes | Neurology | Adult and Child Neurology Medical Associates Inc | 2880 Atlantic Ave, Suite 260, Long Beach, CA 90806-1716 |
| Janine K Jensen | Obstetrics/gynecology | 2880 Atlantic Ave, Suite 200, Long Beach, CA 90806-1744 | |
| Julie R Franklin | Obstetrics/gynecology | 2880 Atlantic Ave, Suite 290, Long Beach, CA 90806-1716 | |
| Tracy L Kelvie | Obstetrics/gynecology | 2880 Atlantic Ave, Long Beach, CA 90806-1716 | |
| Terri Rembuskos | Physician Assistant | Comprehensive Gi Care, A Professional Medical Group, Inc | 2880 Atlantic Ave, Suite 180, Long Beach, CA 90806-1736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy G Lemire | Thoracic Surgery | Long Beach Blvd, Memorial Heart Center, Long Beach, CA 90806 | |
| Pedram Aslmand | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Mariam Botros | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Lisa Nhan | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Orland P Garcia | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Michael W Rymer | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Dorothy M King | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Venessa D Vigil | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Patrick W Willson | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Heather M Lien | Physical Therapy | California Rehabilitation and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Find all physicians in zip 90806 | |||
| City | LONG BEACH |
| Zip Code | 90806 |
| Specialty | NEUROLOGY |
| City + Specialty | LONG BEACH + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.