Organization Active NPI

Skhavin LLC

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1326832981
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKHAVIN LLC
Practice address
100 W Broadway FL 4
Long Beach, CA 90802-4431
Phone
(310) 908-0696
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Sammy Kiflu
Title
Managing Member
Phone
(310) 908-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

100 W Broadway FL 4
Long Beach, CA 90802-4431

Mailing address

100 W Broadway FL 4
Long Beach, CA 90802-4431
Phone (310) 908-0696

National Provider Directory

National Provider Directory

Locations

100 W Broadway
Fl 4
Long Beach, CA 90802
Phone (310) 908-0696

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1326832981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W BROADWAY FL 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024431",
            "telephone_number": "310-908-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BROADWAY FL 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024431",
            "telephone_number": "310-908-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKHAVIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "KIFLU",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-908-0696"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Apr 8, 2025; 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.