Organization Active NPI

Adel Eldahmy M.D. Incorporated

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1356540322
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A37156 Issued in CA
Legal business name
ADEL ELDAHMY M.D. INCORPORATED
Practice address
1760 Termino Ave
Suite 105
Long Beach, CA 90804-2105
Phone
(562) 597-7575
Fax
(562) 498-8309
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Adel A Eldahmy, M.D.
Title
Psychiatrist
Phone
(562) 597-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A37156 CA Primary

Addresses

Primary practice location

1760 Termino Ave
Suite 105
Long Beach, CA 90804-2105

Mailing address

1760 Termino Ave
Suite 105
Long Beach, CA 90804-2105
Phone (562) 597-7575

National Provider Directory

National Provider Directory

Locations

1760 Termino Ave
Ste 105
Long Beach, CA 90804
Phone (562) 597-7575

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1356540322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-7575",
            "fax_number": "562-498-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042105",
            "telephone_number": "562-597-7575",
            "fax_number": "562-498-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL ELDAHMY M.D. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "ELDAHMY",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "562-597-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A37156",
            "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 Sep 15, 2008; 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.