Adel A Eldahmy, M.D., M.B.A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A37156 Issued in CA

Practice address

4500 E Pacific Coast Hwy
Suite 120
Long Beach, CA 90804-3275

Phone

(562) 597-7575

Fax

(562) 498-8309

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1497873608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E. PACIFIC COAST HWY",
            "address_2": "SUITE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043275",
            "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": "4500 E PACIFIC COAST HWY",
            "address_2": "SUITE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043275",
            "telephone_number": "562-597-7575",
            "fax_number": "562-498-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDAHMY",
        "first_name": "ADEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "A37156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.