Organization Active NPI

Pacific Wellness Clinic Iseke Beltran Inc.

  • Health Educator
  • Long Beach, CA
National Provider Identifier
1548686348
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
DC30855 Issued in CA
Legal business name
PACIFIC WELLNESS CLINIC ISEKE BELTRAN INC.
Practice address
3711 Long Beach Blvd Ste 1018
Long Beach, CA 90807-3678
Phone
(562) 426-2244
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Dr. Harold Iseke II, DC
Title
Ceo
Phone
(562) 426-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X DC30855 CA Primary

Addresses

Primary practice location

3711 Long Beach Blvd Ste 1018
Long Beach, CA 90807-3678

Mailing address

3711 Long Beach Blvd Ste 1018
Long Beach, CA 90807-3678
Phone (562) 426-2244

National Provider Directory

National Provider Directory
Tax ID family
Pacific Wellness Center Chiropractic Iseke Beltran Inc2 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.

Locations

3711 Long Beach Blvd
Ste 1018
Long Beach, CA 90807
Phone (562) 426-2244

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1548686348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 1018",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073678",
            "telephone_number": "562-426-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 1018",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073678",
            "telephone_number": "562-426-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WELLNESS CLINIC ISEKE BELTRAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "ISEKE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-426-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "CA",
            "license": "DC30855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2014; 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.