Long Beach Corner Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34669 Issued in CA

Legal business name

LONG BEACH CORNER CLINIC INC

Practice address

1936 E Anaheim St
Long Beach, CA 90813-3908

Phone

(714) 309-4688

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Knull, MDNPI 1073548764

Title

MD

Phone

(714) 673-0508

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Robert Knull, M.D.

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1073548764
  Authorized official Same address or phone

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1699229484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 COLDBROOK AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131024",
            "telephone_number": "714-309-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133908",
            "telephone_number": "714-309-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH CORNER CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "KNULL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-673-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Child and Adolescent Program
• Long Beach Child Mental Health Center
• Long Beach Community Clinics, Inc
• Long Beach Community College District (Student Health Services LBCC)
• Long Beach Comprehensive Health Center
• Long Beach Department Health and Human Services
• Long Beach Dialysis Center LLC (Bixby Knolls Dialysis)
• Long Beach Dialysis Center, LLC (U.S. Renal Care Long Beach Dialysis)
• Long Beach Drugs Inc (Atlantic Plaza Pharmacy)
• Long Beach Family Health Care Services I NC. (F&F Adult Day Health Care Center)

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.