Organization Active NPI

Affordable Care411 Network Inc.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1912338963
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AFFORDABLE CARE411 NETWORK INC.
Practice address
911 E San Antonio Dr
Ste 3
Long Beach, CA 90807-2204
Phone
(562) 423-8000
Fax
(310) 362-0390
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Dr. Ifeoma Stella Izuchukwu, M.D, MPH, FACP
Title
Executive Director
Phone
(424) 333-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

911 E San Antonio Dr
Ste 3
Long Beach, CA 90807-2204

Mailing address

PO Box 13042
Marina del Rey, CA 90295-4042
Phone (562) 423-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1912338963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13042",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902954042",
            "telephone_number": "562-423-8000",
            "fax_number": "310-362-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E SAN ANTONIO DR",
            "address_2": "STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072204",
            "telephone_number": "562-423-8000",
            "fax_number": "310-362-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE CARE411 NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "IZUCHUKWU",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "424-333-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, MPH, FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Mar 7, 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.