Organization Active NPI

Mann Medical Corporation

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1609985779
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80260 Issued in CA
Legal business name
MANN MEDICAL CORPORATION
Practice address
3300 East South Street
Suite 305
Long Beach, CA 90280-3717
Phone
(562) 817-5602
Fax
(562) 817-5605
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Paramjot Mann, M.D.NPI 1518072123
Title
President
Phone
(562) 817-5602

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A80260 CA Primary

Addresses

Primary practice location

3300 East South Street
Suite 305
Long Beach, CA 90280-3717

Mailing address

3300 East South Street
Suite 305
Long Beach, CA 90805-3717
Phone (562) 817-5602

Other identifiers 1

IdentifierTypeStateIssuer
00A802600MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000402 CA Part B Supplier - Clinic/Group Practice 7012918204 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

8221 3rd St
Ste 205
Downey, CA 90241
Phone (562) 622-8102

3633 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262
Phone (310) 537-1503

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1609985779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EAST SOUTH STREET",
            "address_2": "SUITE 305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908053717",
            "telephone_number": "562-817-5602",
            "fax_number": "562-817-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EAST SOUTH STREET",
            "address_2": "SUITE 305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "902803717",
            "telephone_number": "562-817-5602",
            "fax_number": "562-817-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PARAMJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-817-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A802600",
            "state": "CA"
        }
    ],
    "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 Jul 20, 2007; 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.