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

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, MD

Title

MD

Phone

(714) 673-0508

Specialties & licenses 1

Addresses

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": "193200000X MULTI-SPECIALTY 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
• Long Beach Comprehensive Health Center
• Long Beach Department Health and Human Services
• Long Beach Dialysis Center LLC
• Long Beach Dialysis Center, LLC
• Long Beach Drugs Inc
• Long Beach Family Health Care Services I NC.

• All providers in Long Beach, CA
• 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.