Long Beach Child and Adolescent Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LONG BEACH CHILD AND ADOLESCENT PROGRAM

Practice address

240 E 20TH St
Long Beach, CA 90806-5412

Phone

(562) 599-9271

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Veronica Martinez, BA

Title

Intern

Phone

(562) 208-0969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1932433554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 20TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065412",
            "telephone_number": "562-599-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 20TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065412",
            "telephone_number": "562-599-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH CHILD AND ADOLESCENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "562-208-0969",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Birth Center
• Long Beach Care Center, Inc.
• Long Beach Care Dental Inc.
• Long Beach Center for Clinical Research
• Long Beach Center for Psychotherapy
• Long Beach Child Mental Health Center
• Long Beach Community Clinics, Inc
• Long Beach Community College District
• Long Beach Comprehensive Health Center
• Long Beach Corner Clinic Inc

• All providers in Long Beach, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.