Organization Active NPI

Belmont Shore Wellness Center

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1235772609
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BELMONT SHORE WELLNESS CENTER
Practice address
5237 E 2ND St
Long Beach, CA 90803-5326
Phone
(562) 433-1200
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Diep PhamNPI 1033753744
Title
Owner
Phone
(562) 599-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5237 E 2ND St
Long Beach, CA 90803-5326

Mailing address

5237 E 2ND St
Long Beach, CA 90803-5326

National Provider Directory

National Provider Directory

Locations

5237 E 2nd St
Long Beach, CA 90803
Phone (562) 433-1200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1235772609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035326",
            "telephone_number": "562-433-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT SHORE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DIEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-599-9220"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.