Active NPI
Chynel Henning, M.D.
- Clinical Medical Laboratory
- Long Beach, CA
National Provider Identifier
1487754396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D0642679
- Legal business name
- CHYNEL HENNING, M.D.
- Practice address
- 3816 Woodruff Ave
Ste. 104
Long Beach, CA 90808-2147 - Phone
- (562) 377-0389
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chynel F. Henning, M.D.
- Title
- Owner/Lab Director
- Phone
- (562) 377-0389
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D0642679 | CA | Primary |
Addresses
Primary practice location
3816 Woodruff Ave
Ste. 104
Long Beach, CA 90808-2147
Mailing address
PO Box 7630
Laguna Niguel, CA 92607-7630
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A266100 | Other | BLUE SHIELD | |
| LAB58488F | Medicaid | CA | |
| 00A266100 | Other | BLUE CROSS |
Other names 1
- NATIONAL CYTO-PATH LABS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2186396 | Seper Dezfoli Laboratories | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Long Beach, CA
- NPI 1053418947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1487754396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7630",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926077630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 WOODRUFF AVE",
"address_2": "STE. 104",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082147",
"telephone_number": "562-377-0389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHYNEL HENNING, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "HENNING",
"authorized_official_first_name": "CHYNEL",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER/LAB DIRECTOR",
"authorized_official_telephone_number": "562-377-0389",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D0642679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A266100",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB58488F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00A266100",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NATIONAL CYTO-PATH LABS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.