Organization Active NPI

Lung & Allergy Health Associates PMC

  • Pediatric Pulmonology Physician
  • Long Beach, CA
National Provider Identifier
1972126662
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
LUNG & ALLERGY HEALTH ASSOCIATES PMC
Practice address
701 E 28TH St Ste 418
Long Beach, CA 90806-2794
Phone
(562) 684-8096
Fax
(562) 933-8744
NPI assigned
May 28, 2020
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Inderpal RandhawaNPI 1316035363
Title
Ceo
Phone
(562) 490-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0201X
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X Primary

Addresses

Primary practice location

701 E 28TH St Ste 418
Long Beach, CA 90806-2794

Mailing address

PO Box 3637
Seal Beach, CA 90740-7637
Phone (562) 490-9900

Other practice location 1

3640 Lomita Blvd Ste 102
Torrance, CA 90505-3984
Phone (562) 684-8096

Other practice location 2

9940 Talbert Ave # 200
Fountain Valley, CA 92708-5153
Phone (562) 684-8096

Other practice location 3

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 684-8096

Other practice location 4

2701 Atlantic Ave
Long Beach, CA 90806-2701
Phone (562) 490-9900

Other names 1

  • Lung & Allergy Health Associates Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231026002730 CA Part B Supplier - Clinic/Group Practice 2668828617 Receives reassigned benefits from 7 practitioners
Practice locations: Long Beach, CA; Torrance, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

9940 Talbert Ave
#200
Fountain Valley, CA 92708
Phone (562) 684-8096

3640 Lomita Blvd
Torrance, CA 90505
Phone (310) 375-8088

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1972126662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3637",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907407637",
            "telephone_number": "562-490-9900",
            "fax_number": "562-933-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 418",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062794",
            "telephone_number": "562-684-8096",
            "fax_number": "562-933-8744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Lomita Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053984",
            "country_code": "US",
            "telephone_number": "562-684-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9940 Talbert Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927085153",
            "country_code": "US",
            "telephone_number": "562-684-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-684-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062701",
            "country_code": "US",
            "telephone_number": "562-490-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUNG & ALLERGY HEALTH ASSOCIATES PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "INDERPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-490-9900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung & Allergy Health Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.