NPIMap

Organization Active NPI

Cambodian Association of America

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1891035242
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190358AN Issued in CA
Legal business name
CAMBODIAN ASSOCIATION OF AMERICA
Practice address
2501 Atlantic Ave
Long Beach, CA 90806-2708
Phone
(562) 424-6105
Fax
(562) 427-1678
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Mr. Kimthai Kuoch
Title
Executive Director
Phone
(562) 988-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190358AN CA Primary

Addresses

Primary practice location

2501 Atlantic Ave
Long Beach, CA 90806-2708

Mailing address

2390 Pacific Ave
Long Beach, CA 90806-3051
Phone (562) 988-1863

National Provider Directory

National Provider Directory

Locations

2501 Atlantic Ave
Long Beach, CA 90806
Phone (562) 424-6105

2390 Pacific Ave
Long Beach, CA 90806
Phone 5622835438 ext. 114

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1891035242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063051",
            "telephone_number": "562-988-1863",
            "fax_number": "562-988-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062708",
            "telephone_number": "562-424-6105",
            "fax_number": "562-427-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBODIAN ASSOCIATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "KUOCH",
        "authorized_official_first_name": "KIMTHAI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-988-1863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190358AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 21, 2013; 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.