My Pediatric Medical Clinic Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MY PEDIATRIC MEDICAL CLINIC INC

Practice address

2777 Pacific Ave
Suite 209
Long Beach, CA 90806-2625

Phone

(562) 989-1166

Fax

(562) 989-1188

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hanan N Haman, MDNPI 1710045893

Title

Pediatrian

Phone

(562) 989-1166

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Hanan N Haman, MD

  • General Practice Physician
  • Long Beach, CA
  • NPI 1710045893

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1780982017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE",
            "address_2": "SUITE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "562-989-1166",
            "fax_number": "562-989-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE",
            "address_2": "SUITE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "562-989-1166",
            "fax_number": "562-989-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PEDIATRIC MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "HANAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PEDIATRIAN",
        "authorized_official_telephone_number": "562-989-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Z Mwanza
• MWN Community Hospital, LLC
• MWN Community Hospital, LLC
• MWN Community Hospital, LLC
• My Abundant Life Now Counseling Services
• My Pediatrics and Respiratory Care Clinic
• My True Health Center Care Inc
• My True Health Center Inc.
• Bridgette J Myers
• Dallen Myers, PSY.D.

• Pediatrics Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.