MEDICARE: COAST CITY MEDICAL GROUP INC.

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
1	207Q00000X	Family Medicine Physician	G26972	CA

General Provider Information

NPI Number	:	1689719429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COAST CITY MEDICAL GROUP INC.

Provider Business Mailing Address
First Line	:	3736 ATLANTIC AVE # 3
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3409
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3736 ATLANTIC AVE # 3
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3409
Country	:	US
Telephone Number	:	562-595-6396
Fax Number	:	562-595-6693

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAMUEL CHAN
Credential	:	M.D.
Telephone Number	:	562-595-6396

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1891903142 — MEHTAB BAMBRAH-DHAMIJA MD
Practice Location Address:

3760 ATLANTIC AVE
LONG BEACH, CA
90807-3409

Practice Phone: 562-595-7467
Practice Fax: 562-988-0276

1952583569 — KAILASH DHAMIJA WALK IN MEDICAL CARE A MEDICAL CORPORATION
Practice Location Address:

3760 ATLANTIC AVE # A
LONG BEACH, CA
90807-3409

Practice Phone: 562-595-7467
Practice Fax: 562-988-0276

1144468265 — DR. EFRAIN HUMBERTO CHARA DENTIST
Practice Location Address:

3714 ATLANTIC AVE
LONG BEACH, CA
90807-3409

Practice Phone: 949-861-0123
Practice Fax:

1255561296 — WALK-IN MEDICAL CARE
Practice Location Address:

3760 ATLANTIC AVE
LONG BEACH, CA
90807-3409

Practice Phone: 562-595-7467
Practice Fax: 562-402-2214

1306170709 — OPEN ACCESS MEDICAL CARE INC
Practice Location Address:

3760 ATLANTIC AVE
LONG BEACH, CA
90807-3409

Practice Phone: 562-595-7467
Practice Fax: 562-402-2214

1760808356 — DR. RAFAEL QUINTERO DENTIST
Practice Location Address:

3714 ATLANTIC AVE
LONG BEACH, CA
90807-3409

Practice Phone: 949-861-0123
Practice Fax:

Directions to “COAST CITY MEDICAL GROUP INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.