Willow Medical Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

FNP32191 Issued in CA

Legal business name

WILLOW MEDICAL GROUP

Practice address

3311 E Willow St
Long Beach, CA 90806-2310

Phone

(562) 424-4976

Fax

(562) 424-5960

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Miller, M.D.

Title

Physician

Phone

(562) 424-4976

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence J Domaracki

  • Chiropractor
  • Long Beach, CA
  • NPI 1407882335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205050119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062310",
            "telephone_number": "562-424-4976",
            "fax_number": "562-424-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062310",
            "telephone_number": "562-424-4976",
            "fax_number": "562-424-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "562-424-4976",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "FNP32191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Willis
• Jean Marie Willis, LCSW
• Monique Elexandra Willis, MS
• Ayal Willner, MD
• Willow Medical Group
• Erica Jaquai Wills
• Michael Patrick Alvin Wills
• Monica Willson, MFT TRAINEE
• Natalia Wilson Bey
• Pamela Wilson Williams

• Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.