Long Beach Center for Clinical Research Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G51442 Issued in CA

Legal business name

LONG BEACH CENTER FOR CLINICAL RESEARCH INC

Practice address

4772 Katella Ave Ste 200
Los Alamitos, CA 90720-2683

Phone

(562) 595-9366

Fax

(562) 595-7829

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Deanna G Cheung, MDNPI 1336226398

Title

Owner

Phone

(562) 595-9366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Long Beach Center for Clinical Research2 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.

• Long Beach Center for Clinical Research

  • Cardiovascular Disease Physician
  • Long Beach, CA
  • NPI 1841436094
  NPD tax ID

Practitioners 1

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

• Deanna G Cheung, M.D.

  • Specialist
  • Los Alamitos, CA
  • NPI 1336226398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1497980569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 IROQUOIS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084038",
            "telephone_number": "562-595-9366",
            "fax_number": "610-273-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202683",
            "telephone_number": "562-595-9366",
            "fax_number": "562-595-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH CENTER FOR CLINICAL RESEARCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logisticare Solutions, LLC
• Logisticare Solutions, LLC
• Logisticare Solutions, LLC
• Lol, Corp
• Karin N. London, MPH, RD
• Amanda Marie Lopez
• Ellen Ann Lopez, LAADC CA
• Jasmine Lopez
• Katrina A Lopez, RDN
• Korina Victoriana Lopez

• Specialist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.