Organization Active NPI

Cross Wellness Center

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1336887876
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CROSS WELLNESS CENTER
Practice address
701 E 28TH St Ste 301
Long Beach, CA 90806-2777
Phone
(213) 598-4979
Fax
(562) 490-9841
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Kim Phillip
Title
MD
Phone
(213) 598-4979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

701 E 28TH St Ste 301
Long Beach, CA 90806-2777

Mailing address

620 S Gramercy PL Apt 404
Los Angeles, CA 90005-3272
Phone (213) 598-4979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1336887876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S GRAMERCY PL APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053272",
            "telephone_number": "213-598-4979",
            "fax_number": "562-490-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062777",
            "telephone_number": "213-598-4979",
            "fax_number": "562-490-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "213-598-4979"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 May 24, 2022; 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.