Fully Living Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FULLY LIVING CLINIC

Practice address

6615 E Pacific Coast Hwy Ste 225
Long Beach, CA 90803-4216

Phone

(888) 628-3789

NPI assigned

Oct 2, 2018

Last updated

Mar 3, 2019By 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

Asheena Lee, M.D.NPI 1538425772

Title

Founder

Phone

(888) 628-3789

Specialties & licenses 1

Addresses

Other names 1

• Asheena Keith Medical Corporation Other name

Locations

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.

• Asheena Lee, M.D.

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1538425772
  NPD Authorized official

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551571200000",
    "number": "1902381213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY STE 225",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034216",
            "telephone_number": "888-628-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY STE 225",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034216",
            "telephone_number": "888-628-3789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 W Ocean Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024529",
            "country_code": "US",
            "telephone_number": "678-379-9581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULLY LIVING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-03-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ASHEENA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "888-628-3789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asheena Keith Medical Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim E Fuller
• Lashun Fuller, NURSE PRACTITIONER
• Rochelle Fuller
• Rufus Fuller II, L.AC.
• Shannon Nichole Fuller
• Jennifer Fulmer
• Kaprice Fulton
• William O Funes
• PO Ying Fung, PHARM.D.
• Julie Nicole Furness

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; 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.