Long Beach Wellness Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LONG BEACH WELLNESS MEDICAL PC

Practice address

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

Phone

(562) 426-2551

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Martin

Title

Manager

Phone

(562) 685-4535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1407420458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062769",
            "telephone_number": "562-426-2551"
        },
        {
            "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": "562-426-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH WELLNESS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-685-4535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Vamc
• Long Beach Vamc
• Long Beach Vamc
• Long Beach Vamc
• Long Beach Vamc
• Long Beach-Bixby Knolls Medical Clinic, Inc
• Bonnie J Long, M.F.T.
• Cary Long
• James Long, MD
• Janine Odessa Long

• Multi-Specialty Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.