Panacea Healthcare Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51505 Issued in CA

Legal business name

PANACEA HEALTHCARE MEDICAL GROUP INC

Practice address

2630 Pacific Ave
Long Beach, CA 90806-2611

Phone

(562) 426-3399

Fax

(562) 426-3797

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Touadj Farhadi, M.D.

Title

President

Phone

(562) 426-3399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Panacea Healthcare Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Panacea Healthcare Medical Group, Inc.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1952641219
  NPD tax ID

Locations

Practitioners 1

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

• Touradj Farhadi, M.D.

  • Dermatology Physician
  • Long Beach, CA
  • NPI 1356567937
  Medicare reassignment

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1386822930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062611",
            "telephone_number": "562-426-3399",
            "fax_number": "562-426-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062611",
            "telephone_number": "562-426-3399",
            "fax_number": "562-426-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA HEALTHCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "FARHADI",
        "authorized_official_first_name": "TOUADJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-426-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pan and Hsu Pediatrics
• Alexandria Mony Pan, AMFT
• Chris Wei-Sen Pan, MD. MBA. MS.
• Jacqueline Pan
• Jenny S Pan, MD
• Panacea Healthcare Medical Group, Inc.
• Mahendra J Panchal, MD
• Jahnvi Pancholi
• Daniel Panduro
• Briana Ray-Weber Pang

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.