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NPI Code Detail

MEDICARE: BAYFRONT YOUTH & FAMILY SERVICES

MEDICARE: BAYFRONT YOUTH & FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101273OTHERCALEGAL ENTITY

General Provider Information

NPI Number : 1508296443
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYFRONT YOUTH & FAMILY SERVICES
Provider Business Mailing Address
First Line : 4300 LONG BEACH BLVD STE 750
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2013
Country : US
Telephone Number : 562-595-4525
Fax Number :
Provider Business Practice Location Address
First Line : 4300 LONG BEACH BLVD STE 750
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2013
Country : US
Telephone Number : 562-595-4525
Fax Number : 562-426-7142
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. MARYAM RIBADU-JENKINS
Credential :
Telephone Number : 562-595-8111
Provider Enumeration Date : 11/13/2013
Last Update Date : 03/10/2026

Similar Medicare Providers

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Directions to “BAYFRONT YOUTH & FAMILY SERVICES ” Practice Location

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