1235552886 NPI number — HEALTHY FOUNDATIONS MEDICAL GROUP

Table of content: (NPI 1235552886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235552886 NPI number — HEALTHY FOUNDATIONS MEDICAL GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHY FOUNDATIONS MEDICAL GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235552886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1045 ATLANTIC AVE
Provider Second Line Business Mailing Address:
SUITE 715
Provider Business Mailing Address City Name:
LONG BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90813-3408
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-983-5496
Provider Business Mailing Address Fax Number:
562-216-8807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 W COMPTON BLVD
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
COMPTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90220-3085
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-223-0684
Provider Business Practice Location Address Fax Number:
310-223-0687
Provider Enumeration Date:
01/31/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ONYEADOR
Authorized Official First Name:
EJIKE
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
MEDICAL DIRECTOR / OWNER
Authorized Official Telephone Number:
310-223-0684

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A45589 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: A45589 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com