Long Beach Community Clinics, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

LONG BEACH COMMUNITY CLINICS, INC

Practice address

2272 Pacific Ave
Long Beach, CA 90806-4312

Phone

(562) 438-3087

NPI assigned

May 3, 2023

Last updated

May 3, 2023By 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

Mrs. Mintra Sharma Wilson, MA

Title

Administrator

Phone

(310) 767-6620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1750070843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2244",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902748244",
            "telephone_number": "310-767-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064312",
            "telephone_number": "562-438-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH COMMUNITY CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MINTRA",
        "authorized_official_middle_name": "SHARMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-767-6620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.