Individual provider Active NPI

Cordelia Lieberman Sotelo, M.D.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1982859633
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A102437 Issued in CA
Practice address
1777 N Bellflower Blvd Ste 210
Long Beach, CA 90815-4020
Phone
(562) 248-2999
Fax
(562) 248-2998
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A102437 CA Primary

Addresses

Primary practice location

1777 N Bellflower Blvd Ste 210
Long Beach, CA 90815-4020

Mailing address

1777 N Bellflower Blvd Ste 210
Long Beach, CA 90815-4020
Phone (562) 248-2999

Other names 1

  • Cordelia C Lieberman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000591 CA Practitioner - Family Practice 5597809319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cordelia Lieberman Sotelo Medical Doctor MDGroup PAC ID 8224561899, 2 clinicians

Practice addresses (Care Compare)

1777 N Bellflower Blvd
Suite 210
Long Beach, CA 90815-4020
Phone (562) 248-2999

Hospital & facility affiliations

  • Hygieia Home Health Inc Home health agency, Lakewood, CA, CCN 557541
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102437CAMDClinical Social Worker
A102437CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cordelia Lieberman Sotelo Medical Doctor MD Family Medicine CurrentSince Oct 7, 2024 Accepting new patients
Centers for Family Medicine GP Family Medicine CurrentSince Sep 17, 2011 Accepting new patients

Locations

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

5977 E Spring St
Long Beach, CA 90808
Phone (562) 421-3727

1777 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 298-0042

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

1777 N Bellflower Blvd
Ste 210
Long Beach, CA 90815
Phone (562) 248-2999

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1982859633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-248-2999",
            "fax_number": "562-248-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154020",
            "telephone_number": "562-248-2999",
            "fax_number": "562-248-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "CORDELIA",
        "middle_name": "LIEBERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORDELIA",
            "last_name": "LIEBERMAN",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.